Discussions that mention norco

Pain Management board


I am blown away as in my husband. Surgeons office called back & said he is referring me to PM but no more meds. I have never ever went outside any doctors order, infact have undermedicated. I am cluesless as to why he did this. His office gave me two names of PMs & said to pick one. I asked if he was going to call & help me get in & she said she did not know. I was so upset I just burst into tears, with everything I have been through this week I cant believe it. I called the osteos just to leave a message that I will need help quickly to get into PM & she said she would give the osteo the message monday. My husbund is stunned since this has been my biggest fear & the surgeon knew, I ask him last time I was in about PM & he put it off, because of seeing the osteo. I have enough meds if I stretch them till monday morning.
I am even afraid to take the Norco because then what do I tell the PM doc when the surgeon only has me on Percocet?
Cant even lift my arms in the morning & my hands have been hurting so bad, but the worst part is the chest & ribs. I have never been so afraid.
I feel sick to my stomach with fear. I told his office my last message that the osteo said I do need to be in PM but he knew that was my last option, I just don't get it.
How do I make my percocet last when I barely have enough to get through the weekend? My GP does not deal with CP at all. This is so wrong.
I swear as soon as one doctor knows your going to be seen by a new specialist this is what happens. I just cant live like this. I am more afraid then ever of having to deal with this. I have held on & tried to have faith but this is to much. Doing everything your told then to just be left hanging. I am so careful with meds its laughable. My daughter is outraged & feels I should try to get into another GP but then it will appear I am doctor shopping, & who would want to treat me? If I take other meds it will appear I am abusing, I have no ideal what to do & I am beyond desperate.
The office did say well maybe you can calll back monday & see if he will give you enough to get by, well I don't even have an PM appoinntment because none were in this afternoon & that is when the surgeons office called me.
I some how think if he wanted to give me enough to get be he would have done so.

My husband kept telling me not to worry because the surgeon said he wean me off if he but not do this, well I guess I had a reason to be worried.
Heck I don't even know if I should trust a PM recommended by him.
I am trying to stay calm but I am not sure what to do, if ever I needed suggestions it is now. Sammy
[QUOTE=sammyo1;3589071]I am blown away as in my husband. Surgeons office called back & said he is referring me to PM but no more meds. I have never ever went outside any doctors order, infact have undermedicated. I am cluesless as to why he did this. His office gave me two names of PMs & said to pick one. I asked if he was going to call & help me get in & she said she did not know. I was so upset I just burst into tears, with everything I have been through this week I cant believe it. I called the osteos just to leave a message that I will need help quickly to get into PM & she said she would give the osteo the message monday. My husbund is stunned since this has been my biggest fear & the surgeon knew, I ask him last time I was in about PM & he put it off, because of seeing the osteo. I have enough meds if I stretch them till monday morning.
I am even afraid to take the Norco because then what do I tell the PM doc when the surgeon only has me on Percocet?
Cant even lift my arms in the morning & my hands have been hurting so bad, but the worst part is the chest & ribs. I have never been so afraid.
I feel sick to my stomach with fear. I told his office my last message that the osteo said I do need to be in PM but he knew that was my last option, I just don't get it.
How do I make my percocet last when I barely have enough to get through the weekend? My GP does not deal with CP at all. This is so wrong.
I swear as soon as one doctor knows your going to be seen by a new specialist this is what happens. I just cant live like this. I am more afraid then ever of having to deal with this. I have held on & tried to have faith but this is to much. Doing everything your told then to just be left hanging. I am so careful with meds its laughable. My daughter is outraged & feels I should try to get into another GP but then it will appear I am doctor shopping, & who would want to treat me? If I take other meds it will appear I am abusing, I have no ideal what to do & I am beyond desperate.
The office did say well maybe you can calll back monday & see if he will give you enough to get by, well I don't even have an PM appoinntment because none were in this afternoon & that is when the surgeons office called me.
I some how think if he wanted to give me enough to get be he would have done so.

My husband kept telling me not to worry because the surgeon said he wean me off if he but not do this, well I guess I had a reason to be worried.
Heck I don't even know if I should trust a PM recommended by him.
I am trying to stay calm but I am not sure what to do, if ever I needed suggestions it is now. Sammy

Hi Sammy, surgeons are noptporious fopr just stopping meds. My client just had hip surgery 2 weeks ago, she called her surgeon for refills. denied! He said tehre was no way she could be in pain (she had a hip replacement!) He had her on Vicodan..laughable if it were not so sad. They cannot admit that surgery does not fix everything. anyway, back to you, If it wereme, I would call again (as you have nothing to lose) and tell them you need sufficent meds until you can see a PM, as you have been on them, and cannlt jsut stop them. Also, you can look for a PM on your own. Please do not get discouraged, tehre is an answer here, please advocate for yourself. I will have you in my thoughts and prayers. :angel:
My GP wont deal with cp & yes he was suppose to give me a script. The message I got was he reviewed your chart & is releasing you & sending you to PM, but he did not write any scripts for you. Period. I now have a real fear of all doctors, & I am not kidding. I am scared to death & have no clue what to do. I am going to have to try the norco & I don't know, my husband is so mad he may call him monday, who knows. The surgeon knew I was afraid of being left in this pain, & I ask before about PM. I just don't get it at all.
Oh god guys I am trying to not get to afraid. I am simply stunned.
My Gp has me classfied as CP & trust me they may give me a shot MR but that is about it, & the osteo Is more of a naturalistic doc, but she did say she would help me if to get into PM if I had to wait any length of time. I just don't know. Every doctor around here has narcotic phobia I think.
I have about 8 perc. left, which I can barely make it on 3 aday, I have norco probalbly at least 40, a few flexerril, skelaxin, motirn & even a couple of oxys left, I never took anything once I was switched thats what gets me. I am so darn careful & boom. I am one who really follows what I am told. Thank god I did not ditch it all, I almost did. I think I even have one vicodin left from a tooth issue. Although not everyting works for this pain.
How do you ever trust any doctors again? & what can I do with what I have left? Can't even call a PM till monday & sure does not give me time to look into which one would be best for me. In some sense I realiaze he did not even have to do that, but he could have given me a warning that he was weening me while I was getting into PM, something. My hsuband will problably call monday, I don't think I will be up to it, & knowing me I would probably loose it. I have been up & down since this diagnosis. I just try so hard not to let it get to me & this is it. What do you think with what I have?
Sammy
I agree with Fabby....at least you have the norcos. I wouldnt let ANY one know what meds you have besides what this doc has given you. They dont need to know. all they need to know is you are high and dry, and someone has to help you. Is it after 5pm there? and friday to boot.
God, I thought I had it bad. Sammy, did I miss something but didnt the osteo tell you shed help you if you got with a PM doc? Im sorry if Im wrong, but I think she is your best bet right now. Cant you call her even on call this weekend and tell her what is going on??? sorry if IM missing something, but you ned to take whatever you have to stave off the w/d. Remember, deperate times call for desperate measures, and when you have no choice, you simply have to look out for YOU. At this point I wouldnt be afraid of messing up with a PM doc you dont even have yet. All you can do is take care of you right now. Im stunned as well...I feel horrible for you. Your letter could have been me, if my doc werent able to help me when I just lost it on the phone with him yesterday. I really knew it was my last chance, and I went for broke...you know we are here for you.
xoxoxox,
IZZY'SMOM
Why does this crap happen on Fridays?

I would agree with Diet in that I wonder if something was misinterpreted. I would have your husband call the Doc @ 8AM on Monday and ask to talk to the Doc directly. Tell the receptionist that it's an emergency. When the Doc calls, have your husband tell him that it was his understanding that the surgeon would care for his wife for 3 months and if the pain didn't subside, refer her to PM. And, for god's sake, if something has changed and the time period has been moved up, could he at least show some compassion and keep her comfortable until her first PM appointment? I would plead, beg, or whatever I had to.

If the Doc doesn't call back by lunch, I'd call again. If not by 4PM, I'd call again....And so on. If he doesn't call back on Monday, I'd show up Tuesday AM and ask to see him in between appts when he was first available....I'd sit there all day if needed. At some point, you need to use his own words against him. In the meantime, I'd try to get an appointment with one of the two Docs.

I'd also follow Izzy's recommendation of taking the Norcos to stay out of WD. Depending on the strength, 2 Norcs are roughly equal to 1 Per. So, if you've got 40 Norcos, it's approximately 20 Percs.

Good luck, and stay strong.

Ex
Thanks guys, I keep telling myself dont panic. Yes Ex. always happens on a Friday, always. NOt only will I not be able to use my arms but my breathing will go haywire, has from the very beginning with this, I am not sure why, but has popped up with others with the myofascial, that is my biggest worry.

I have the name of four PMs to choose from of course how to choose now? The osteo recommended 3, surgeon 2, one is recommeded by both, but he is the DO. Two have websites, a couple are anastheseologists (spelled wrong), one a rehab, one an MD(dont know his speciality), one is a DO, his name has come up more then once, the thing is some DO's are very conserative with meds & that scares me. Like the Osteo, she does not prescribe meds at all.
I can ask her if she calls about the DO, but she may not call till monday evening & have to try to get an appointment quick, if I cant maybe she can or maybe the surgeon will help after my husband speaks to them, llike I said the office did not know if he was going to help me get in. I am still worried about my shoulders, obviously he's not if he discharged me.

I know I told the office I needed him to give me a Muscle Relaxer to, maybe that did it, but he knew I was on a Muscle relaxer from urgent care, & come on he is the one who confirmed the diagnosis for mysfascial damage, as far as I know a MR is pretty important for that. I don't think he would give the name of a pm if he did not believe I was in alot of pain. Of course that does me no good now.

My husband rubbed my upper back & shoulder down with oils, love the peppermint last night & I was out like a light. to stressed out.
He did say he is calling the surgeon monday & is furious that he would cut me off because of wihtdrawl. The osteo also said I should be in PM & maybe that got him I just don't know, but this is terrable. It took me to mid june to get an appointment so no way would they squeeze me in, not a over friendly office. The strange thing is that his assistant said wed. that I should not be left to deal with that much pain, I was in so much pain I could barely talk. So I do not get why he would do this. I feel like going in there & slapping all my meds down & telling them. I lowered my own dose of oxy, it did not agree with me. I know & we all know why this happens & everyone of these doctors have a fear factor, I can see why, but here I am being so dang careful. Heck I should have raised my dose along time ago which the surgeon said I could as long as I followed what was on the bottle, I was to afraid of this happening.

I listed the meds I have, is there a safe combination of what I have that will help me till I get into PM? god I hope its fast. I am praying my husband gets through to him on monday but lets face it he can do what he wants.
Should my husband mention withdrawl? I am telling noone about what I have at home, good thing I have something. The only problem I have is my bp can run low (hypotenstion) so I have to be careful. That is why I could not take the oxy more then once aday & why I am so careful with the muscle relaxers. I am going to try spacing the Muscle relaxers 2hrs from the pain meds through the weeked. I am also going to try saving the rest of the perco. for mornings. I am still in pain after taking the 1 perc., after I will try 11/2 norco & stay on the MR & perhaps motrin. What do you think? I am desperate here for some opinions.
I have 5 teenagers for the weekend & my birthday is sunday, Happy birthday to me, it will definantly be one I remember.
Please everyone let me know what you think about the PMs & what combination I can safely use to get by of the meds. I don't want to call the pharmacist, I don't even trust them. Thanks Sammy
Sammy darlin', I am so sorry this has happened. What a jerk this guy is! I'm sorry I wasn't on last night, when all this came to a head.

First, I can't give you better info on how to handle this than the rest. I agree that you need to take whatever you have to get you through. If you have the Norco, then by all means, use it. Whatever you have to, to keep from going into W/D's.

First thing Mon. am, call the PM doc that is an anesthesiologist or the Phys Med & Rehab guy. They are generally very open to Rx'ing opiates/opioids. Plus they really do have the best understanding of pain. It is what they are specifically trained to do.

Just explain to whoever answers the phone that you are in a crisis situation. Let them know that your surgeon had been treating your pain and had finally diagnosed you with CMP. Let them know that he recommended that you should start seeing a PM doc, and then just dropped you, cold, without any refills on the meds he had been Rx'ing. If the first place can't see you right away, then call the next.

If all else fails and for whatever reason you are not able to get in to see one of these docs, have your husband do as the others have said and call the surgeon. He should be furious, as should you. Now is not the time to be worried about stepping on this #[email protected]&^'s toes. You didn't create this mess. He did. Or someone on his staff did. Nobody could rightly accuse you of doctor shopping in this situation. Hell, it's not like you are looking for meds from 5 different docs at the same time. You are just looking for one kind soul to be compassionate and take care of you.

I wish there was something more I could say or do. I do know this much....you have to try to stay as calm as you can right now. I know that is easier said than done, but the stress will not help your pain. It will only make it worse. Especially myofascial pain. What mg. of flexaril do you have? (If you have any left) If it is the lower dose, take 2 if you have to. It will probably make you extra sleepy, but right now, if that is the trade-off, then so be it. It should also help with your stress. You said your GP might give you a shot? If so, then let him.

I am praying for you so loud right now. I feel absolutely horrible that you are going through this. I am here for you, for whatever you need. And let those girls have a free-for-all, if need be. You need your rest. I'll try to check in as often as possible. It is lousy with rain and humidity today, so I am on "super go slow" today. God bless you my friend. Do what you need to do for you right now. Sending you warm gentle hugs, CMP/MM
Ok, my husband is calling monday, he is furious because he was at the appointment when the surgeon said 6mths he would treat me, & he cant believe he would even put me in this situation. He wants to know why, what have I could have possably cause this reaction. My husband said he is letting them know how careful I have been & this is uncalled for.
So far it sounds like the Anesth. gets the vote, I have 2 to choose from I will decide before monday. One works closely with the surgeon, so what do you think? Yes or NO? I don't know about the other & am hoping the osteo will intervene if need be. Alot depends on how the surgeon responds to my husband. I felt like maybe he did not believe my pain level & that hurts more then anything.

I have very little flexrill left, but I do have the skelaxin 800 so I have taken one just a short time ago. About the norco should I try 11/2? As I said saving the perc. for mornings, god the weather is bad & I am already struggling with the breathing. How far apart should I have to space the Norco from the morning percocet? perc is the 10-325 & Norco is 10-325.
What a mess.
I found an old bottle of flex. with refills for my old doctor, but it is from 7-07, so I'm not sure if they will refill it, I don't want to have to go back on my old doctors scripts unless I have to.
I am trying take it one day at a time, I keep telling myself not to ruin my days when for now my hands are tied. I can't get these days back. It is hard.
Where the heck would I be without you guys.
So here it is, How far apart should the perc & norco be spaced, & should I try the 1/12 Norco?
PM (anasth) the surgeon works with closely or no? In some sense the surgoen knows the most about my condition.
I'm sorry to repeat myself but I ramble on. you all know how much I value your input. Sammy
IMO, two of the Norcos is probably roughly equal one of the Percs, but you can get by on 1.5 if you want to stretch it out. I've read where Hydro to Oxy is anywhere from 1.5 - 2.5. I'd start with the lower dose (1.5) and see how it does and then go from there. Different meds effect everyone differently. It's always prudent to start low and work up.

Ex
[QUOTE=sammyo1;3589910]
So here it is, How far apart should the perc & norco be spaced, & should I try the 1/12 Norco?
PM (anasth) the surgeon works with closely or no? In some sense the surgoen knows the most about my condition.
I'm sorry to repeat myself but I ramble on. you all know how much I value your input. Sammy

Sammy, As I said in Pepper's thread, my doc is a Physiatrist. He works in the Physical Medicine and Rehabilitation Department. Just like the anesth. these docs are some of the best PM's. This is all they do. Diagnose and treat pain. I am pretty sure you had mentioned one or two of these being listed??

I just want you to have options. I am sure that even if you see a doc who doesn't necessarily work closely with your surgeon, they will still need all of your records anyway. So, to me, either way is good.

Hang in there and know that I am here for you. Hugs, CMP/MM
Adding 400mg advil/ibuprofen to the norco would give a significant boost to the analgesia
Ok guys made it through yesturday, taking the perc. in am,& then 800mg motrin, & muscle relaxer, along with switching to Norco 11/2 through out the day. Then rubbing the muscles with essensial oil & icing. All day. My stomach is not doing well, but managed to keep pain level down, I know I can take two norco if need be, it had me alittle nervous. I am not doing much to try to be on the safe side. I am worried about the pain flaring up, but nothing I can do about it for now.
Yes cmp one of the PM's is a physiatrist, he is also a DO who works with alot of natural stuff, which in one way I like, but it does make me nervous that he may also be one of those doctors who are scared of to prescribe pain meds.
I will try to find out because his name was recommended by both the surgeon & osteo. My other rehab . doc did not like to deal with narcotics at all. I was his only patient on oxy & although he put me on it he did not like it at all.
I have a big decision to make & no time to look into the PMs recommended by the surgeon. I would not be so upset with the surgeon if he had followed through with what he said. I realize he can't help me at this point but I am left in this pain & noone to turn to & not one but both shoulders/arms messed up. I am sorry but in my opinion to leave anyone like this without warning is wrong & especially when you are sending them to PM, its just cruel especially for a doctor who takes an oath. I do not expect him to treat me forever, just to stand by his word. At the very least help me get into PM. We will see.

I want to thank you all, I would have not known what to do. I am very cautious with medications & would have had a hard time knowing what was safe but effective. Your recommendations & advice mean more then I can say, its not only helping me know how to try to manage this pain but emotionally its keeping me going. These last few weeks have been hard & this really made me think I was going to loose it, without all of you I know I probably would have climbed in bed & stayed there.
Lets hope my stomach holds up, I don't do well with hydroco. & motrin for any legnth of time. Sammy
Hey everyone, up all most of night, everytime I moved pain. I have taken the meds I have but they are just not doing the job, but some relief is better then none. However they are doing a job on my stomach.
I remember why I don't take hydroc. or motrin for long. I did take a zantac last night.
Kept waking up drenched in sweat & pain, my poor husband, I am sure he will be tired today. Was my birthday yesturday (no I am not telling how old I am) god was with me because I made it through the day trying to ignore the pain. I don't think that is going to continue.
Once again I am clueless as to why the surgeon did this, but I wish he could climb into my body for a day.
Yes Marica my shoulder is a mess, I keep thinking back the more I did therapy the more it hurt. Of course I did have a couple incidents with it. I am dont know what to do with it, it just hurts The chest area is what kept me up & back right beneath the scapula around through those ribs, I can't take that pain, I swear I always wonder is this what it feels like if your having a heartattack, then the constant stabbing in the center chest, drives me crazy. I am having periods where its hard to breathe & that is to scary.

Thanks EX for the advice the norco. I did start with 1/12 & then took the 2 for the last dose of the day, so I am taking perc. in AM, & 2 doses of Norco through out & motrin & skelaxin in between. Thus far its taking the edge off, just does not last, but I will take what I can get.
Sammy
Just getting ready to send & surgeons office called to say one more refill, use it wisely, duh! I told her that is exactly what I have been doing, & no the office does not help with getting into PM. So much for that. Sammy