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Board: Pain Management 11-14-2017, 09:36 AM
Replies: 7
Views: 386
Posted By backhurtz
Re: Codeine into Morphine

Not telling the truth is going to backfire.
I am not sure you understood my response to the testing questions. An in office screen only shows positive or negative. Almost all doctors ALSO send urine...
Board: Pain Management 11-13-2017, 08:09 AM
Replies: 7
Views: 386
Posted By backhurtz
Re: Codeine into Morphine

There are different types of urine tests,
and different testing methods. In office tests typically are screens, meaning they say YES or No, when done. Most PM offices also send the urine out for...
Board: Pain Management 11-12-2017, 12:10 PM
Replies: 7
Views: 386
Posted By backhurtz
Re: Codeine into Morphine

Codeine will likely show up, and if it is sent out for confirmatory testing , it will definitely show up. Are you supposed to be taking morphine or codeine?
Board: Pain Management 11-11-2017, 08:11 AM
Replies: 3
Views: 431
Posted By backhurtz
Re: lost

That's a strange approach.
You went through a trial before the pump was placed permanently correct? Normally, you undergo a pump trial, then if you get a successful result, the pump is later...
Board: Pain Management 10-22-2017, 04:14 PM
Replies: 2
Views: 421
Posted By backhurtz
Re: Withdrawal symptoms help from morphine

You are experiencing typical withdrawal symptoms. Usually they last anywhere from 5 -7 days and then slowly start improving.
Making sure you stay hydrated, eat bland meals, Tylenol pm , and anti...
Board: Pain Management 10-15-2017, 09:33 AM
Replies: 6
Views: 606
Posted By backhurtz
Re: Oxycodone or Hydrocone?

It really depends on you. Hydrocodone does zero for me painwise, and never has. Oxycodone on the other hand consistently works pretty well for me.
Board: Pain Management 09-28-2017, 10:30 AM
Replies: 5
Views: 967
Posted By backhurtz
Re: New to Pain management

Did your doctor slowly increase the dose of gabapentin?
Usually, they start a new patient at maybe 100 mg, two or three times a day, then after a week increase by similar doses, to give patients...
Board: Pain Management 09-27-2017, 10:13 AM
Replies: 5
Views: 967
Posted By backhurtz
Re: New to Pain management

Often times, there is a period of acclimation to a new medication, and unpleasant side effects diminish over time, as your body adjusts.
That being said, you should never cut a medication in half...
Board: Pain Management 08-19-2017, 03:07 PM
Replies: 11
Views: 9,244
Posted By backhurtz
Re: Naproxen - help

Never heard of naproxen causing withdrawal symptoms. A more likely explanation is that the inflammation that the naproxen was reducing is what's occurring/returning due to not using the ANTI...
Board: Pain Management 08-14-2017, 01:03 PM
Replies: 2
Views: 709
Posted By backhurtz
Re: Finding pain management Dr.

First, I am sorry you are in this situation. Am I reading correctly, you have 4 different opiates AND extended release opiates, and you ran out 8 days early? That's an awful lot of taking extra meds....
Board: Pain Management 08-09-2017, 09:12 PM
Replies: 5
Views: 757
Posted By backhurtz
Re: Help! From pain management to suboxone??

Suboxone is also an opiate, just so you know. Your best bet would be to discuss your desire to get off the opiates with your current pm doctor, and see if he can help you.
Suboxone doctors typically...
Board: Pain Management 08-02-2017, 01:54 PM
Replies: 6
Views: 736
Posted By backhurtz
Re: No changes

Perhaps a surgical consult? Not sure what your asking for suggestions regarding. If it is regarding meds, none of us are qualified to make suggestions regarding meds.
With narrowing or compression,...
Board: Chronic Pain 07-16-2017, 10:51 AM
Replies: 1
Views: 389
Posted By backhurtz
Re: need pain mgmt Dr near San bernardino ASAP

This is the first time I've ever heard of antiobiotics and predisone causing someone to bleed out if they had an epidural injection. Anti inflammatory meds are normally stopped before injections but...
Board: Pain Management 07-09-2017, 09:43 PM
Replies: 6
Views: 973
Posted By backhurtz
Re: Pain management help for Cervical Biopsy

There may be some mucus and blood tinged discharge according to my reading for up to a week,
but it doesn't appear to be more than what women typically get toward the end of their periods, according...
Board: Pain Management 07-09-2017, 09:57 AM
Replies: 6
Views: 973
Posted By backhurtz
Re: Pain management help for Cervical Biopsy

The test is very similar to a pap smear, except they use a bright light and a tiny binocular type instrument to see the cervix. It is not painful. If they decide to biopsy, they use a numbing agent,...
Board: Pain Management 06-17-2017, 10:06 PM
Replies: 11
Views: 1,210
Posted By backhurtz
Re: Broad spectrum urine drug test

I want to make sure I am not misunderstanding. You were prescribed Tylenol #3, but switched to oxycodone after taking your husband's prescription. Its a bit unclear what your actual dosing...
Board: Pain Management 05-27-2017, 10:00 AM
Replies: 6
Views: 1,345
Posted By backhurtz
Re: Taper off vicodin

In my own experiences tapering off meds, after talking with my doctor, was pretty easy, with very little in the way of problems or withdrawal symptoms despite being on much higher doses/ more potent...
Board: Pain Management 04-17-2017, 05:45 PM
Replies: 3
Views: 821
Posted By backhurtz
Re: Tegaderm v. Bioclusive

I found the matrix patches far better, but we are all different. Different manufacturers also make the matrix patches, so ask your pharmacist about ordering a different manufacturers brand and you...
Board: Pain Management 04-15-2017, 12:23 PM
Replies: 3
Views: 821
Posted By backhurtz
Re: Tegaderm v. Bioclusive

They are one and the same. Some companies call them bioclusive and tegaderm is the brand name.
Board: Pain Management 03-08-2017, 07:33 PM
Replies: 2
Views: 744
Posted By backhurtz
Re: Juggling Topamax, pain, and weight loss

If a medication states that you should take the medication whole, then you should NOT cut it.
You can call the prescribed and ask them to reduce the strength/dosage, and they can eliminate the...
Board: Pain Management 03-07-2017, 10:37 AM
Replies: 3
Views: 1,076
Posted By backhurtz
Re: Pain management

I've never been called in for a pill count either, but generally speaking, the day you fill is day one of a new prescription.
Board: Pain Management 02-13-2017, 06:22 PM
Replies: 5
Views: 2,337
Posted By backhurtz
Re: Pain Contract Violation Info?

Unfortunately, your violation will likely follow you, as it is NOW part of your medical records. Most states have a database which shows what meds you have had filled, dates, and by how many doctors....
Board: Pain Management 12-28-2016, 05:08 PM
Replies: 4
Views: 2,109
Posted By backhurtz
Re: New Dr. =new Rules

Is Opana on the list of possible new meds? Generic is Oxymorphone HCL ER. It is an extended release medication, that lasts the 12 hours, and works pretty well for me anyway.
Nucynta ( be careful if...
Board: Pain Management 12-05-2016, 07:38 AM
Replies: 6
Views: 2,203
Posted By backhurtz
Re: Ethics re PM - Please help me figure this out

There is no reason why a pain patient should test negative for prescribed meds. As harsh as that may sound, it is not meant to be, just a statement of fact. Meds, taken as prescribed, should show up...
Board: Pain Management 09-28-2016, 09:27 PM
Replies: 1
Views: 769
Posted By backhurtz
Re: Epidural Steroid Injection

Yes, it's normal, and expected. The ESI injections aren't a cure, but can be very helpful in reducing inflammation and swelling in the area. It is important not to overdo it though, because you are...
Board: Pain Management 08-28-2016, 11:37 AM
Replies: 4
Views: 864
Posted By backhurtz
Re: Fentanyl Patch questions

When I was using the patches, I found that placing the patches in areas less prone to sweating was helpful. Calves (inside or outside), upper arms, covering them with tegaderm or similar product....
Board: Pain Management 08-09-2016, 01:38 PM
Replies: 5
Views: 1,133
Posted By backhurtz
Re: PhotoShopping out a lie in medical record illegal?

No it is not legal and it can get you into legal trouble, tampering with official records.
It is concerning that you have "no moral qualms" in doing this.
There are ways that any new physician can...
Board: Pain Management 08-08-2016, 09:57 AM
Replies: 4
Views: 1,035
Posted By backhurtz
Re: Oxy withdrawals and depression 2 weeks after surgery?

There is also post surgical depression too. It occurs typically in people who under go major surgeries, and usually starts around the two week mark. It is a combination of the anesthesia, the pain...
Board: Pain Management 08-01-2016, 09:13 AM
Replies: 2
Views: 1,133
Posted By backhurtz
Re: Seeing a new PM Dr while still at old one (will he fire me?)

The new PM doctor will probably look at your prescription history prior to allowing you to make an appt.
The old PM probably already realizes that you are planning on leaving if you picked up your...
Board: Pain Management 07-19-2016, 10:36 AM
Replies: 4
Views: 1,283
Posted By backhurtz
Re: I'm sure I'll be released.

While I agree you don't need to go into specific or explicit details regarding the assault, I disagree with not telling the doctor the reason for your visit and the circumstances surrounding you...
Board: Pain Management 05-27-2016, 10:51 PM
Replies: 23
Views: 2,817
Posted By backhurtz
Re: Should I switch from Suboxone to Methadone for Chronic Pain?

There is no magic dose that is going to relieve all of your pain and allow you to do things like jumping fences that your body just can not physically do.
All doctors have a "comfort"level when it...
Board: Pain Management 05-26-2016, 10:49 AM
Replies: 23
Views: 2,817
Posted By backhurtz
Re: Should I switch from Suboxone to Methadone for Chronic Pain?

30 mg of methadone is a lot of methadone. 12 mg of suboxone is a lot of suboxone as well.
Used for pain and only pain, the typical dose of suboxone is 2 mg and under. There is a ceiling effect for...
Board: Pain Management 05-20-2016, 11:23 AM
Replies: 3
Views: 774
Posted By backhurtz
Re: Getting off Fentanyl patch

Never, ever, cut the patches!
Contact your doctor as BB said, they can simply give you smaller doses patches and taper you off, or convert you to oral meds and reduce your dosage , but either way,...
Board: Chronic Pain 05-08-2016, 11:32 AM
Replies: 3
Views: 1,949
Posted By backhurtz
Re: My first withdrawal/my opiate addiction

There is also an addiction forum here as well, not sure how active it is, but you may want to check that out.
Board: Chronic Pain 05-08-2016, 10:34 AM
Replies: 3
Views: 1,949
Posted By backhurtz
Re: My first withdrawal/my opiate addiction

Taking the hydrocodone just reset your withdrawal all over again. Day 3 is always the worst, then once you get through it, things get better each day afterward.
I wouldn't be so sure your wife and...
Board: Pain Management 05-04-2016, 08:15 PM
Replies: 19
Views: 4,027
Posted By backhurtz
Re: New FDA/CDC guidelines

No, just saw my PM doctor yesterday, and there wasn't even a mention of changing anything or the CDC recommendations.
Board: Pain Management 05-04-2016, 08:36 AM
Replies: 12
Views: 2,946
Posted By backhurtz
Re: Urine screen showing Nucynta

If the testing done was either gc/ms or immunoassay testing, the odds of a false positive are extremely low, since those tests look at the metabolites of the meds as they are broken down in the body....
Board: Pain Management 05-01-2016, 07:38 PM
Replies: 1
Views: 700
Posted By backhurtz
Re: Disability Questions

In order to qualify for SSDI, you have to be medically disqualified to do any job, and your doctors, as well as the independent evaluating physicians also have to agree.
There are some medical...
Board: Pain Management 04-22-2016, 07:50 PM
Replies: 3
Views: 619
Posted By backhurtz
Re: the new guy

Methadone can cause something called a prolonged Q-T syndrome, which is a heart rhythm problem.
Your doctor will be able to convert you from methadone to a different opiate pretty easily. He has...
Board: Chronic Pain 04-15-2016, 03:53 PM
Replies: 2
Views: 1,153
Posted By backhurtz
Re: Many Years Chronic Pain - Looking for Dr

The best place to look for a new pm doctor ,is your insurance website, then. or local hospitals can give you the names of doctors in your area.
As far as finding physicians who aren't going to...
Board: Chronic Pain 04-14-2016, 11:10 PM
Replies: 2
Views: 900
Posted By backhurtz
Re: 5 Years of Pelvic Floor, Groin, Abdominal, and Leg Pain

Have the doctors ruled out a hernia? A twisting of the vessels in your testicle?
What kind of doctors have you seen and what if any testing has been done ?
Board: Chronic Pain 04-12-2016, 12:06 PM
Replies: 2
Views: 1,125
Posted By backhurtz
Re: Help! Severe pain and tension destroying me

Have you consulted with a good big city pain management program? If not, that is where I would start.
There is something called complex regional pain syndrome, which is a misfire in your sympathetic...
Board: Pain Management 04-07-2016, 03:46 PM
Replies: 1
Views: 575
Posted By backhurtz
Re: Need Help Finding a Doctor

I would avoid any "pill mills " completely, but as far as the other two, even though they may not have agreed with the cause of her pain doesn't mean that either one of them could not have been of...
Board: Pain Management 03-28-2016, 11:22 AM
Replies: 6
Views: 1,092
Posted By backhurtz
Re: List my Meds When Seeing New Doctors?

I have to agree, after so many years on what sounds like very large doses of pain meds, some of your headaches/migraines could very well be rebound, from the pain meds and the hefty doses.
I saw a...
Board: Pain Management 03-26-2016, 09:51 PM
Replies: 6
Views: 1,092
Posted By backhurtz
Re: List my Meds When Seeing New Doctors?

In my state , doctors are required by law to check the database before writing any prescriptions to a patient, then the pharmacist is also required to do the same before filling anything.

Not...
Board: Back Problems 03-26-2016, 02:51 PM
Replies: 6
Views: 762
Posted By backhurtz
Re: Chronic pelvic pain?

Then he needs to see an board certified either ortho or neuro spine surgeon, discuss all of the symptoms he is experiencing and they can get the proper diagnostic tests ordered.
Board: Back Problems 03-26-2016, 05:32 AM
Replies: 6
Views: 762
Posted By backhurtz
Re: Chronic Pelvic Pain

It is entirely possible that there could be a problem in his lumbar region that is causing the problems he is having.
The nerves in the lumbar spine immediate the bladder and bowels, as well as...
Board: Back Problems 03-25-2016, 04:51 PM
Replies: 6
Views: 762
Posted By backhurtz
Re: Chronic pelvic pain?

Has he ever been evaluated for low back issues? Nerve compression specifically. Nerves in the lower lumbar spine immediate the bladder and bowels and could be related to the symptoms he is...
Board: Pain Management 03-24-2016, 03:05 AM
Replies: 3
Views: 898
Posted By backhurtz
Re: Cancer Diagnosis Question

Since it is part of your medical history, then I would list it on the medical history part of the paperwork, but at the same time, since it is not the reason for your need for treatment, I would not...
Board: Pain Management 03-17-2016, 02:58 PM
Replies: 10
Views: 1,170
Posted By backhurtz
Re: I need your opinions

I have never, not once in over 20 years of dealing with chronic pain of various causes, self medicated in any form, even before things became as restricted as they are today.
Excusing it in any form...
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