Discussions that mention morphine

Pain Management board

Most PM doctors do not cut you off your current medications and go "natural" so don't worry about that.

Here's what you should do however:
Take copies of any and all medical records and tests that relate to your current situation so the doctor knows what is wrong, what has been tried and what your current regimine is if possible or at least a list of your current doctors and places you've had tests so they may get the records for you.

If your appointment isn't for a few weeks or month(s) start keeping a pain diary, keep notes of when you hurt, how much you hurt and when you took medications and how you felt afterwards.

When you go in you'll have general paperwork to fill out and nearly all doctors will give you a contract explaining about narcotic pain relief, that the goal of PM is not to have 100% pain relief but to minimize the pain (100% just isn't viable in chronic pain) and have you agree that you can not see any other doctor for pain management nor can you have any other narcotic type medications prescribed to you by any other doctor, including an ER. You may also have to agree to random drug screens and pill counts. You must understand and sign the agreement before you can even see the doctor in most cases.

Your doctor will most likely ask you about your history, what prompted the visit and how you are currently feeling along with current medications. He or she will then discuss a treatment plan (usually). Your doctor may or may not suggest phsyical therapy and psychological counseling (for pain management) in addition to prescribing any medications. He or she may also order additional tests and also offer or discuss having blocks, cortisone injections and the like.
Your first visit will probably be the longest of any visits that you do have with him or her.
Honestly it's just like any other doctors visit when you are sick but the main focus being that you have irritractable chronic pain and the goal is to give you some quality of life.
Generally the doctor will prescribe some sort of medication (you did not say what you were on). If your current medication is reasonable he may just increase the dosage and set a new apointment in a few weeks to a month to see how you are progressing with the medication. From that point on it's all trial and error in finding what works best for you. Some doctors require you see them every 28 or 30 days (especially in the begining) while others allow for a longer period of time between visits.

I do suggest that during your first month with this doctor you do keep a pain diary and medication diary. Keep track of your pain levels and when you take medications as well as how you react to them. Bring it with you to your second visit so that you can discuss what's happening with your current regimine. He may or may not change medications after that point. Again, it's all total trial and error. Most doctors, as a general rule, will try to give you the most minimal medication to help with the pain so don't expect to go in and get Morphine or Oxycodone prescribed right off the bat or something equivalent (it does happen but it is based on past history, condition and doctor). If something that is not as strong works all the better for you.

Also bear in mind what works for many of us here may not work for you as most of us have been PM patients for many many years and we've gone through the regimine of low level medications to strong medications through a period of time.

Best of luck