Help Me With My Asshead Pain Doc PLEASE

[Dillygirl]

All jokes aside, I trust you guys to help me out here. I have my 2nd appointment with this doc in 4 hours; I'm scheduled for an epidural. I'm sure most of you know that 2 weeks ago, he wrote me 5/325 Percocets, #60, one every 12 hours, along with neurontin and flexeril (read: more shit to swallow for no reason).

When I first saw him, I told him the ER docs had put me on dilaudid 2 mg. and he said something about ER's going for the heavy shit right away. Then when he was writing the percs he asked me if I would rather have Vicodin or Percs, and I told him the Perc 10's, and he said those were too strong and wrote the 5's.

In the past two weeks I've been to the ER twice because the pain just got too unbearable - it wakes me up at night, it shoots down my leg and makes me fall...it's really bad. So I need to know how to put it to this doctor that I need REAL pain medicaiton, not jacked up Tylenol. I don't want to go in sounding like I know too much about narcotics and send up a red flag, but honestly? I can't take much more of this. My PCP won't refer me to yet another pain doc (the first one spoke Russian and wanted me to get naked in his office for an exam, and his office was FILTHY). I'm in a real bind here, and I need suggestions pronto.

Thanks!:confused:

[Bluez_Snooze]

sorry, im not really sure that i can give you any good advice.
im just always straight up with my doc, and she trusts me.
if my tolerance happens to go up before the month is up,
i just take whatever amount of meds i need to kill the pain.
then when i run out, i'll go see her even before the month is up,
and i just tell her that i had to take whatever extra each day.
so ya, i just tell her how much i need, and she trusts me.

so, just be honest with him i guess.
might not work for you though.
maybe somebody else can give you some advice.

[Dillygirl]

Yeah, I was thinking just go in and tell him, "Look, I've been to the ER twice in the last two weeks, the percocet isn't even touching the pain, could you please help me." I dunno what else to do but be honest.

[Slingblade]

i think you gave yourself the best advice. tell your doctor the meds arent even touching the pain, that you had to visit the ER, and that you need something stronger. A doctor has a requirement to keep their patients out of pain. Most are skeptical because of all the drug seekers, and reluctant to give you stronger doses. Be honest with him, but be firm about your problem, because your problem is obviously very real. If all else fails, go see a different doctor, one that will listen. You are right about not telling them about how much you know about painkillers, because regardless of the intentions of your knowledge, it seems any knowledge immediately flags you as a junkie. Another option is to ask to be referred to a pain management specialist. I wish the best of luck to you.

As a side note, I liked the picture you chose as your album cover. Maybe you could just show him that and get a script for whatever you feel like :)

[Dillygirl]

LMAO! I think I'll just tell him the truth and see what happens. It's just SUCH a drag to have to get yet another referral - my PCP is only in on Wednesdays and it's a holiday weekend so...

[Dillygirl]

Oh.
My.
GAWD.

I got to the office, he's all "Hi there Dilly (not really, he didn't call me Dilly lol) how are you?" I told him how I was. I told him I have been to the ER twice in two weeks. I told him I am not sleeping. I told him I felt like I was getting my back sawed in two with a motherfucking blunt buzzsaw.

He takes me in the room, tells me to undress and put on a gown - THAT'S right, he saw my ass. It didn't help. He gives me a pillow to hold on my lap, tells me to bend forward and arch my back "like a cat" which I do, with much difficulty. He then goes to give me the epidural - with no local, so I jumped when he jammed the five foot needle into my lumbar spine. Next thing I know I'm on the fucking floor - my bp bottomed out and I passed out.

So he decided to do four trigger point injections instead. And he sent me home with.....



....wait for it......







......ULTRAM.

Fucker.

I foresee a trip to the ER in my future this weekend. He's in the office tomorrow, I'm going to call him and tell him that no, the ultram does NOT make the 5 mg percocet work better.

WHAT kind of PAIN MANAGEMENT doctor DOES that? Asshat.

[Oxyrisin2]

God dam him. Here what you do
ON MONDAY YOU CALL HIS OFFICE AT OPENING. TELL THEM YOUR IN SO MUCH PAIN AND READY TO GO TO THE HOSPITAL.aND THAT YOU ARE TAKING 10 50MG ULTRAMS AND ITS DOING NOTHING AT ALL.

[Oxyrisin2]

Fuck I'm pissed, that mother fucker.
Ok yes you see him tomorrow and tell him that you are taking 10 50mg tabs. he will shit if he knows anything.And insist, and even start crying a little to get your point accros. It will work but you really have to lay it on him.
Dam it I' m just sick. He isn't a true pm. no pm would give you 5mg pecs

I was just looking at what you said to him..
Did you tell him what I told you to say??let me know

[Dillygirl]

Oh believe me, I will be calling him in the morning and laying it on him fully. If I didn't have the kratom I'd be seriously fucked today - and I will def be fucked tomorrow. He's a dick. I swear, I felt like punching him in the neck except I was busy fainting.

[Dillygirl]

Oh and he didn't give me any more percocet, just the Ultram, even though I told him I'd been doubling the dose and it wasn't working. It's like all he wants to do is the fucking injections and he doesn't even hear what I'm saying to him. Tomorrow's my kid's 13th birthday, and I do NOT want to spend it in pain like this. I fucking feel like crying right now.

[Bluez_Snooze]

damn dilly, that blows.
and i agree with oxyrisin, this guy is a terrible pm.
if you told him you were taking double the dose of the percs, plus going to the er for dilaudid.
and the fuck gives you ULTRAM! wtf
this dude must be a fuckin retard.
i strongly suggest that you look into seeing somebody else.
a pm is suppose to be there to help you, not torture you.

[Dillygirl]

Yeah, I'm gonna have to get my PCP to refer me out of network. I just don't want to have to start over YET AGAIN.

[Feelings 0f U4ia is Back!]

Get a new pain doctor....

Ask around...it's not hard to find a doctor who is known for actually helping people....

[Dillygirl]

The problem is finding one who takes my shitty ass insurance. I'm not in the position to pay cash right now.

[Nikolai37]

I had the worst pain doc ever last year, I was hospitalized 3 times for pain control under his "care" and had a couple more ER visits. My doctors and surgeons along with this pain doc all work out of the same hospital which shares all records so he knew but didnt care. My last time there I came close to placing my fist through his face. Luckily in my last hospital stay I was recommended to a PCP from the same hospital who has basically saved my life, especially after being deemed inoperable after my 6th time being cut on.

There really isnt anything you can say, how many different ways can you tell the doc you are still in tremendous pain? With certain doc's you might as well say nothing. The best thing to do is see different doctors until you find one that helps you. After the ER visits if you are scheduled with a followup with a doc, go to it. This is all you can do because more than likely your current doc s not going to do much more for you than he has.

[Dillygirl]

My fucking back is KILLING ME right now. I am SO fully pissed. Maybe I'll ask the ER for a referral to a pain doc then get my PCP to write the referral.

[ILL BILL NECRO]

wow that really sucks.... I could not even imagine trying to live a normal life in serious pain. I just take the pills for fun, I pray that I will never "need" them. Seriously tho honesty has always worked for me. Its the easiest route to take so try that first and if he does not respond use your other tactics.

[Feelings 0f U4ia is Back!]

Yeah, I have to do all my stuff without insurance as well.

[Dillygirl]

I've left 4 messages for him so far this morning, he hasn't called back. Asshole.

[KingGeorgeIII]

lol I get back pain so bad sometimes it wakes me up in the middle of the night. they gave me an herbal fucking supplement.

[Bluez_Snooze]

lol I get back pain so bad sometimes it wakes me up in the middle of the night. they gave me an herbal fucking supplement.

is there really something wrong with your back though?
or does it just get soar from time to time?

real painkillers are usually only givin to people with chronic pain,
or after a surgery temporarely.

[LoriBaby]

hey dilly,maybe u should do a background check on this doctor.....i wonder if hes been in trouble for the prescriptions hes written before and now is being overly cautious

[Dillygirl]

Know what Lori, I actually thought of that this afternoon. I've spent the whole rainy shitty day lying around trying be be comfortable while my first born celebrates her 13th birthday. But I am NOT going to the ER on a Saturday night on a holiday weekend - that's just crazy talk.

[Feelings 0f U4ia is Back!]

Most doctors who are shady pill mill doctors don't learn...so I doubt he has been caught for anything before...because those doctors continue to do what they do, because that is how he makes money and why his practice is so popular.

It sounds like he has always been against pain meds....I didn't even know Pain Management clinics GIVE epidurals..

It's supposed to be a practice that manages your pain. If the Doc is not properly doing so, you need to tell him that nothing he is trying is working...and if he can't start actually helping you, you will have to see another doctor.

[Oxyrisin2]

Both my PM's gave shots. in fact I'm getting one next week..

[KingGeorgeIII]

is there really something wrong with your back though?
or does it just get soar from time to time?

real painkillers are usually only givin to people with chronic pain,
or after a surgery temporarely.
Yeah, I have a protruding diisc in my thoracic spine, as well as damaged and torn ligaments. This is according to an MRI and the doctor who gave me the herbal supplements.

If the pain's bad enough to jolt me awake, it isn't just soreness.

I did go to canada today and get some codeine for a CWE, which didn't do shit as far as a high is concerned, but has slightly releived my pain. Also, the large amounts of canadian caffeinated codeine has made me a bit more stimulated than I would have liked (i'll blame the length of this message on the caffeine, ghetto speedball style)

I think opes may make it worse overall, because since I've started using them more, the pain has increased, especially in times without them.

I am waiting for the man, as lou reed would say, so hopefully that will do a bit more than just slip the pain away.

[CoLdFuSioN167]

This is what I never could understand. If somebody is in pain and the current medication that they are prescribed is not working - then why not up the dosage? Why do some doctors have such a hard time doing this???

I get really bad anxiety sometimes so the doctor gave me 0.5 mg Xanax. I went home with 30 of them. They did absolutely nothing for me. So I go back to the doctor and tell them and they will not up my dosage. WTF!? How come its always the people that really don't need the pills that get the HIGHEST DOSE pill? It makes me sooo mad!

[KingGeorgeIII]

lol yeah, i remember reading an erowid report of some kid who got prescribed 100mgs of seroquel to help them sleep. apparently that was a bit too much for them. (no shit)

[Oxyrisin2]

[QUOTE=CoLdFuSioN167;5439908]This is what I never could understand. If somebody is in pain and the current medication that they are prescribed is not working - then why not up the dosage? Why do some doctors have such a hard time doing this???QUOTE]
Because if they gave you more meds everytime your pain goes up, your tolerance will go through the roof..

Meds aren't there to kill your pain anyway.There given to help the pain more managable..
People always think that because there pain pills there suppose to kill the pain.That just isn't true.
I feel sorry for you younger folks, cause what are you going to do when you get older and end up really injuring yourself. and I'm not talking about minor shit like buldge disks and strained muscles. That shit can be taken care of with exercise and advil. Sure pain pills make it feel better but you don't need them.
I have been on the same dosege for almost 8yrs now. and never had increases in my medication.. Even after back 2 back surgeries. Had med increases but only for about 8 weeks. then brought them back down again..
Anyway like I said what are you guys going to do when you really need them. Doc is going to look at you and say I'm not giving you 2 80's for your conditon. Here is 40mgs and be happy. And you'll be bitching that the doctor won't take care of you.HAHA :D
Then your fucked.Thats why I keep my at a pretty low dose. And use and abuse whats given to me..
I will be 60 and still getting pills and you guys will be suffering..LOL HEHE:cheers2:

Oh and coldfusion, I'm not trying to bash you I'm just making a point to all you poor young fucks out there, that are going to end up getting screwed when you get older.

[KingGeorgeIII]

Because if they gave you more meds everytime your pain goes up, your tolerance will go through the roof..

Meds aren't there to kill your pain anyway.There given to help the pain more managable..
People always think that because there pain pills there suppose to kill the pain.That just isn't true.
I feel sorry for you younger folks, cause what are you going to do when you get older and end up really injuring yourself. and I'm not talking about minor shit like buldge disks and strained muscles. That shit can be taken care of with exercise and advil. Sure pain pills make it feel better but you don't need them.
I have been on the same dosege for almost 8yrs now. and never had increases in my medication.. Even after back 2 back surgeries. Had med increases but only for about 8 weeks. then brought them back down again..
Anyway like I said what are you guys going to do when you really need them. Doc is going to look at you and say I'm not giving you 2 80's for your conditon. Here is 40mgs and be happy. And you'll be bitching that the doctor won't take care of you.HAHA :D
Then your fucked.Thats why I keep my at a pretty low dose. And use and abuse whats given to me..
I will be 60 and still getting pills and you guys will be suffering..LOL HEHE:cheers2:[/quote]

look, to be honest, the bulging disc and shit arent that bad. yeah, sometimes it's a bitch but truthfully I can manage. I know it's probably wrong to do, but i'm a yungun', so i'm attempting to exploit my legitimate pain for some pills I want, instead of the bullshit pills I get from shrinks.

I hope that they heal the back problems now though, so when I AM old, there isn't anything really painful from years of simply putting up with it.

[Oxyrisin2]

^^^ I hear ya. I've had 3 buldged disks and severe degenerated disk in l4,l5,s1. for ten years,I was a heavy structure mechanic for Boeing. Then finally when I was 32 I ruptured L4,L5, Thats when I started on the meds daily.
All I can say is If ya hurt try and get some Opiates, but try and only get scripted low amounts and use them when you need them. That way when you get older you'll be able to get meds and they will still work for ya..I know better said then done. I'm just glad I wasn't into Opiates when I was younger, Otherwise I would have been screwed by now

[Feelings 0f U4ia is Back!]

Oxycodone barely touches my pain anymore, to be honest. Even at 300mg++ doses.

The best drug that I have found that really honestly worked to help manage my pain was Fentanyl.

[Oxyrisin2]

Morphine has been doing wonders for me lately, ever since I changed

[KingGeorgeIII]

^^^ I hear ya. I've had 3 buldged disks and severe degenerated disk in l4,l5,s1. for ten years,I was a heavy structure mechanic for Boeing. Then finally when I was 32 I ruptured L4,L5, Thats when I started on the meds daily.
All I can say is If ya hurt try and get some Opiates, but try and only get scripted low amounts and use them when you need them. That way when you get older you'll be able to get meds and they will still work for ya..I know better said then done. I'm just glad I wasn't into Opiates when I was younger, Otherwise I would have been screwed by now
I'm trying to be realistic about shit. I don't shoot up or anything nor do I ever plan on it. I don't intend on doing opiates all the time, and my income won't be able to fund enough to get me into trouble.

Most pain pills that I can get ahold of on the street are ridiculously overpriced, so I've ended up using h. it might not be as safe, but it's what I can do. I can pay $10 less than I would for one 80 and have multiple doses, whereas an 80 for me is like 1.5 doses.

This is one of the reason's I'd rather be prescribed shit. Even though I'm young i'm not a dumb kid. I know what I'm messing with and i'm not out to throw my life away for almost anything, especially a drug.

[Dillygirl]

I'm 35 years old, I've had two kids, one of whom I had an epidural with and the other they gave me a shot of fentanyl which kicked in AFTER she was born, so I know what pain is and I can handle a LOT of it. But this is just craziness. I have an appointment to see him Friday evening, and if I make it through the week without going to the ER then I'm just going to tell him flat out that if he doesn't help me MANAGE THIS PAIN that I'll find someone who will. End of.

[KingGeorgeIII]

aww, see, I feel bad for people in actual pain. Now, I've never had severe pain lasting more than a few hours. But, nerve pain is basically the most excruciating pain ever, constantly, right? I couldn't handle that. I'm so sorry your doctor is such a piece of shit.

My friend's dad is a pain specialist and he's been saying that there's been so much pressure put on doctors to NOT prescribe any type of opiate because it will "automatically make you an addict". I just don't understand that logic. If I was in severe excruciating pain, I would rather be addicted to something that releives it, than be in pain to no end.

[Dillygirl]

This guy does the epidurals in his office so he doesn't have to wait on insurance authorization; the whole practice is a PI/WC/NF mill - they have the orthopedist, the chiropractor, the MRI, the pain management all in the same building, but like I said, I have to go where my insurance sends me. It's a fucking drag and makes me wish I hadn't blown through all my money in my 20's, spending it on stupid shit, because now I'm totally fucked. I could go to my mom for money but she puts me through so much grief because of my past dope habit that I'd really just rather not.

[LegendInHisTime]

Damn I don't know what to say other than I'm sorry and I hope your situation can be resolved. I would definitely work with your insurance company on trying to find another pain doc even if you have to drive a distance to have one in your network it would be well worth it. Well good luck on your situation it's gotta suck to be in pain knowing theres plenty of meds out there to relieve them but the doctors are just to scared to prescribe them.

[Dillygirl]

He's got one more shot. Friday. After that, I go out of network. There IS no one else in my network.

[Bluez_Snooze]

[QUOTE=CoLdFuSioN167;5439908]This is what I never could understand. If somebody is in pain and the current medication that they are prescribed is not working - then why not up the dosage? Why do some doctors have such a hard time doing this???QUOTE]
Because if they gave you more meds everytime your pain goes up, your tolerance will go through the roof..

Meds aren't there to kill your pain anyway.There given to help the pain more managable..
People always think that because there pain pills there suppose to kill the pain.That just isn't true.
I feel sorry for you younger folks, cause what are you going to do when you get older and end up really injuring yourself. and I'm not talking about minor shit like buldge disks and strained muscles. That shit can be taken care of with exercise and advil. Sure pain pills make it feel better but you don't need them.
I have been on the same dosege for almost 8yrs now. and never had increases in my medication.. Even after back 2 back surgeries. Had med increases but only for about 8 weeks. then brought them back down again..
Anyway like I said what are you guys going to do when you really need them. Doc is going to look at you and say I'm not giving you 2 80's for your conditon. Here is 40mgs and be happy. And you'll be bitching that the doctor won't take care of you.HAHA :D
Then your fucked.Thats why I keep my at a pretty low dose. And use and abuse whats given to me..
I will be 60 and still getting pills and you guys will be suffering..LOL HEHE:cheers2:

Oh and coldfusion, I'm not trying to bash you I'm just making a point to all you poor young fucks out there, that are going to end up getting screwed when you get older.

yeah i know what you're sayin man.
im only 20 years old and im already on 100-120mg oxy a day.
but i seriously need it to function.
without these meds, im stuck in bed in agony.
and i tried doing everything else possible before i finally got put on oxy.
i put up with the pain for 3 years before i got the meds.
i did physio therapy, message therapy,
im currently seeing a chiropractor who does acupuncture and electro therapy.
i've also done every excercise and more that the docs have recomended.
i have scoliosis and a winging scapula but the docs don't think its either of those causing my pain.
so im waiting to get an mri done in june.
hopefully that will reveal something new thats treatable.

well, good luck again Dilly.
a life in pain is a shitty life to live.

[Nikolai37]

In my late 20's with 6 lumbar spine operations here. Have an optional 7th but have been recommended against it by my surgeons. Im already on a giant dose of opiates daily, able to stay out of severe pain about 75% of the time.

[Oxyrisin2]

In my late 20's with 6 lumbar spine operations here. Have an optional 7th but have been recommended against it by my surgeons. Im already on a giant dose of opiates daily, able to stay out of severe pain about 75% of the time.

Dude I feel for you. especially so young. I know how you feel. Keep your head up. PEASE

[KingGeorgeIII]

bluez; I have the same thing diagnosed, although without the extreme pain. it has been manageable pain but getting worse for three years. recently accupuncture has helped slightly, although it could also be that i've been using more as well

on my mri, all they found was a "slight disc protrusion"

[Bluez_Snooze]

bluez; I have the same thing diagnosed, although without the extreme pain. it has been manageable pain but getting worse for three years. recently accupuncture has helped slightly, although it could also be that i've been using more as well

on my mri, all they found was a "slight disc protrusion"

yeah im getting acupuncture done too.
but im hoping that the mri will reveal something new.
my grandfather has degenerative disk desease so i dunno if that can be passed down from generation to generation.
maybe? i dunno

the meds sure make life easier though, thats for sure.

[Oxyrisin2]

Dilly,
How did your doctors appt. go today. I hope it went well, and if it didn't I hope you told him you were going to find a doctore that can help with your chronic condition

[Nikolai37]

yeah im getting acupuncture done too.
but im hoping that the mri will reveal something new.
my grandfather has degenerative disk desease so i dunno if that can be passed down from generation to generation.
maybe? i dunno

the meds sure make life easier though, thats for sure.

I got DDD L3 to S1 but its not a real disease in the way that something like cancer is, injury to the back and spine is what causes DDD. However having a weak back that can injure easy thus causing DDD could be blamed on genetics I suppose.

[codemeister3]

Yeah dill. How did it go? I really hate doctors like this... They are able to prescribe meds for a reason!! Man, I don't know about some doctors. Unfortunatly all we get in the army is ibuprofen! EVERY time for EVERYthing. If we get teeth pulled then we get 5mg percs... At least you are getting ultram? I don't know. I hate some doctors.

[Dillygirl]

As far as the ultram goes, it doesn't work for shit. I don't know, maybe it does for some people, but it just made me twitch and gave me a blasting migraine that lasted days.

Speaking of which, I had to change my appointment to this morning, I couldn't move last night with the migraine I had; I'm leaving in 20 minutes. I'll keep you guys posted, and thanks for all your help.

[Bluez_Snooze]

I got DDD L3 to S1 but its not a real disease in the way that something like cancer is, injury to the back and spine is what causes DDD. However having a weak back that can injure easy thus causing DDD could be blamed on genetics I suppose.

so if i do have DDD, should the mri reveal that?
im just sick with putting up with this shit.
i've been seeing docs for 3 years now,
and although they have confirmed that i have scoliosis and a winging scapula,
they don't think that its either of those causing my chronic pain.
thats why im hoping they'll find something new on the mri results.

[Slingblade]

Yeah dill. How did it go? I really hate doctors like this... They are able to prescribe meds for a reason!! Man, I don't know about some doctors. Unfortunatly all we get in the army is ibuprofen! EVERY time for EVERYthing. If we get teeth pulled then we get 5mg percs... At least you are getting ultram? I don't know. I hate some doctors.

Lol. Good ol vitamin M. Hooah.

[Oxyrisin2]

so if i do have DDD, should the mri reveal that?
im just sick with putting up with this shit.
i've been seeing docs for 3 years now,
and although they have confirmed that i have scoliosis and a winging scapula,
they don't think that its either of those causing my chronic pain.
thats why im hoping they'll find something new on the mri results.

^^Ya that shouldn't be causing your pain.
I had 5 buldged disc for 15yrs and it was hard to get pain meds till I got a little older..
Cause alot of that can be fixed with exercise. which it did help..
But when they started rupturing The pain was to much and had to have surgery..
I hope they find something, or you might have a hard time getting your meds continued.
They have cut me off cold turkey a bunch of times after an mri showed nothing new..

[Bluez_Snooze]

^^Ya that shouldn't be causing your pain.
I had 5 buldged disc for 15yrs and it was hard to get pain meds till I got a little older..
Cause alot of that can be fixed with exercise. which it did help..
But when they started rupturing The pain was to much and had to have surgery..
I hope they find something, or you might have a hard time getting your meds continued.
They have cut me off cold turkey a bunch of times after an mri showed nothing new..

alright cool, thanks man.
yeah i hope she doesn't cut me off if the mri doesn't reveal anything new.
she knows that i need my pills.
i quit my job, put off school for yet another year and fell into depression because of my back pain.
i don't think she'll cut me off though.
i've already had 2 other x-rays and she's still ok with giving me my meds.

[Dillygirl]

so if i do have DDD, should the mri reveal that?
im just sick with putting up with this shit.
i've been seeing docs for 3 years now,
and although they have confirmed that i have scoliosis and a winging scapula,
they don't think that its either of those causing my chronic pain.
thats why im hoping they'll find something new on the mri results.

I'm not a doctor (but I play one on the internet). But I did work for an orthopedist/chiropractic clinic while I was in college, and my sister and mom are nurses. I actually asked my sister this morning if your DDD would show on an MRI and she said that it definitely would, along with spinal stenosis which you probably also have. She also said you should have a neuro workup and nerve conduction studies, because the level of pain relative to the diagnosis suggests serious nerve involvement. I trust my sister absolutely (she helped deliver both my kids); see what the MRI says and get a neuro workup if you haven't had one already. You're too young to be stuck in this cycle for the rest of your life, and without sounding preachy (I have no business preaching anyway lulz) opiates are really bad for your bones, aside from being addictive, so in the long run the opioid therapy WILL make the condition worse as far as degeneration, osteoporosis, brittle bones, etc.

So I went to the doc; I refused to go into the procedure room, I told the receptionist to put me in a regular consult room because I needed to speak to him. He comes in all "I'm so sorry you had a bad reaction to the ultram" blah blah ray ray. So I cut him right off and told him, "Look, doctor, I'm coming to pain management to MANAGE my pain. Not to have useless procedures, not to have my concerns dismissed, and certainly not to experiment with a bunch of drugs that do more harm than good. I have been incapacitated ALL WEEK. I was AT THE HOSPITAL. I had CLONIC SEIZURES from the medication that YOU prescribed because you didn't want to give me anything stronger than 5/325 percocets twice a day. Oxycodone with apap is not extended release and does not last 12 hours; I spoke to the pharmacist, the ER doc, the neurologist, and my sister and they all agree that it's ridiculous for me to be in this much pain when I've been in pain MANAGEMENT for nearly two months now. So what are we going to do, doctor? Because if I don't get some pain relief today, I'm going to have to find another physician, and, when my PCP asks me WHY I need another referral, I'm going to have to tell her the truth - that you're more interested in billing for procedures and multiple unnecessary office visits because you refuse to treat my pain, which is the reason I'm here. You're supposed to be treating the pain, PERIOD. I have a neurologist and an orthopedist and a regular doc and an OB/GYN; I don't need you to do anything but treat my pain. So are you going to treat my pain, or am I going to file a complaint?"

He looked at me. Then he said, "Okay, here's what we're going to do. I'm going to give you trigger point injections for the spasms, and we'll write you some stronger medication for your pain. Then I'll see you in 2 weeks for an epidural, when you're feeling better and the spasms have settled down, but I'm not going to write valium for the spasms because it's too strong and I'm not comfortable writing benzos..."

I said fine to the trigger points (they do kind of help the spasms for a couple days, not much but at least enough that I can go to the gym and stuff). He does them, and says okay, see the girl at the desk for your scripts and to make an appointment for the epidural.

I go to the desk, and the chick gives me an appointment for the first; then she hands me my scripts. And what did he write me? ENDOCET (7.5 mg oxycodone 325 tylenol) twice a day instead of the 5/325 percs, and 300 mg of neurontin again. I just looked at her, and I said, "Where is the doctor?" She said he was doing a procedure. I took the scripts, went to the pharmacy, then I called his office (I'm not stupid, I wasn't going to say this before I got my pills) and told the receptionist to tell the "doctor" (and I use that term loosely) that I would be going to the Plan next week and letting them know what was going on. And that he could give HIMSELF the epidural in his DICK.

So...I have 60 endocets, a couple valium left, and a little bit of anesthetic in my muscles. I'm done, there's no reason to see this guy ever again.

Sorry this post is so long, but I'm pissed. Gotta get some work done, see y'all later.

[Oxyrisin2]

Thats cool, I had one doc that was handing them out to me for 9 months, then one day after an MRI she said well we can't find anything new,I believe your hurting but I will get in trouble if I keep giving you pain meds..
She gave me one more script and that was it. I was then off to finding another doctor

[Oxyrisin2]

I'm not a doctor (but I play one on the internet). But I did work for an orthopedist/chiropractic clinic while I was in college, and my sister and mom are nurses. I actually asked my sister this morning if your DDD would show on an MRI and she said that it definitely would, along with spinal stenosis which you probably also have. She also said you should have a neuro workup and nerve conduction studies, because the level of pain relative to the diagnosis suggests serious nerve involvement. I trust my sister absolutely (she helped deliver both my kids); see what the MRI says and get a neuro workup if you haven't had one already. You're too young to be stuck in this cycle for the rest of your life, and without sounding preachy (I have no business preaching anyway lulz) opiates are really bad for your bones, aside from being addictive, so in the long run the opioid therapy WILL make the condition worse as far as degeneration, osteoporosis, brittle bones, etc.

So I went to the doc; I refused to go into the procedure room, I told the receptionist to put me in a regular consult room because I needed to speak to him. He comes in all "I'm so sorry you had a bad reaction to the ultram" blah blah ray ray. So I cut him right off and told him, "Look, doctor, I'm coming to pain management to MANAGE my pain. Not to have useless procedures, not to have my concerns dismissed, and certainly not to experiment with a bunch of drugs that do more harm than good. I have been incapacitated ALL WEEK. I was AT THE HOSPITAL. I had CLONIC SEIZURES from the medication that YOU prescribed because you didn't want to give me anything stronger than 5/325 percocets twice a day. Oxycodone with apap is not extended release and does not last 12 hours; I spoke to the pharmacist, the ER doc, the neurologist, and my sister and they all agree that it's ridiculous for me to be in this much pain when I've been in pain MANAGEMENT for nearly two months now. So what are we going to do, doctor? Because if I don't get some pain relief today, I'm going to have to find another physician, and, when my PCP asks me WHY I need another referral, I'm going to have to tell her the truth - that you're more interested in billing for procedures and multiple unnecessary office visits because you refuse to treat my pain, which is the reason I'm here. You're supposed to be treating the pain, PERIOD. I have a neurologist and an orthopedist and a regular doc and an OB/GYN; I don't need you to do anything but treat my pain. So are you going to treat my pain, or am I going to file a complaint?"

He looked at me. Then he said, "Okay, here's what we're going to do. I'm going to give you trigger point injections for the spasms, and we'll write you some stronger medication for your pain. Then I'll see you in 2 weeks for an epidural, when you're feeling better and the spasms have settled down, but I'm not going to write valium for the spasms because it's too strong and I'm not comfortable writing benzos..."

I said fine to the trigger points (they do kind of help the spasms for a couple days, not much but at least enough that I can go to the gym and stuff). He does them, and says okay, see the girl at the desk for your scripts and to make an appointment for the epidural.

I go to the desk, and the chick gives me an appointment for the first; then she hands me my scripts. And what did he write me? ENDOCET (7.5 mg oxycodone 325 tylenol) twice a day instead of the 5/325 percs, and 300 mg of neurontin again. I just looked at her, and I said, "Where is the doctor?" She said he was doing a procedure. I took the scripts, went to the pharmacy, then I called his office (I'm not stupid, I wasn't going to say this before I got my pills) and told the receptionist to tell the "doctor" (and I use that term loosely) that I would be going to the Plan next week and letting them know what was going on. And that he could give HIMSELF the epidural in his DICK.

So...I have 60 endocets, a couple valium left, and a little bit of anesthetic in my muscles. I'm done, there's no reason to see this guy ever again.

Sorry this post is so long, but I'm pissed. Gotta get some work done, see y'all later.

There you go Dilly.
Right on, now you don't have to fuck with this dick head anymore, Move on to the next one.
and when you have to fill out the papaer work and it asks what meds your on, Say 40mg oxys 2 times a day.
I did that and got a little more than that.
Which was cool..

[Dillygirl]

Yeah - and I have the bottle from my sister's guy to prove it too. I might even actually get treatment this time.

I'm pretty much just glad I have meds to get through the weekend, I have a Communion to go to tommorrow with Manfriend's family and I really wasn't looking forward to it with no meds. Although I could get my sister's guy to write me more, I don't want to bug him too much and wind up burning that particular bridge.

[Bluez_Snooze]

I'm not a doctor (but I play one on the internet). But I did work for an orthopedist/chiropractic clinic while I was in college, and my sister and mom are nurses. I actually asked my sister this morning if your DDD would show on an MRI and she said that it definitely would, along with spinal stenosis which you probably also have. She also said you should have a neuro workup and nerve conduction studies, because the level of pain relative to the diagnosis suggests serious nerve involvement. I trust my sister absolutely (she helped deliver both my kids); see what the MRI says and get a neuro workup if you haven't had one already. You're too young to be stuck in this cycle for the rest of your life, and without sounding preachy (I have no business preaching anyway lulz) opiates are really bad for your bones, aside from being addictive, so in the long run the opioid therapy WILL make the condition worse as far as degeneration, osteoporosis, brittle bones, etc.

So I went to the doc; I refused to go into the procedure room, I told the receptionist to put me in a regular consult room because I needed to speak to him. He comes in all "I'm so sorry you had a bad reaction to the ultram" blah blah ray ray. So I cut him right off and told him, "Look, doctor, I'm coming to pain management to MANAGE my pain. Not to have useless procedures, not to have my concerns dismissed, and certainly not to experiment with a bunch of drugs that do more harm than good. I have been incapacitated ALL WEEK. I was AT THE HOSPITAL. I had CLONIC SEIZURES from the medication that YOU prescribed because you didn't want to give me anything stronger than 5/325 percocets twice a day. Oxycodone with apap is not extended release and does not last 12 hours; I spoke to the pharmacist, the ER doc, the neurologist, and my sister and they all agree that it's ridiculous for me to be in this much pain when I've been in pain MANAGEMENT for nearly two months now. So what are we going to do, doctor? Because if I don't get some pain relief today, I'm going to have to find another physician, and, when my PCP asks me WHY I need another referral, I'm going to have to tell her the truth - that you're more interested in billing for procedures and multiple unnecessary office visits because you refuse to treat my pain, which is the reason I'm here. You're supposed to be treating the pain, PERIOD. I have a neurologist and an orthopedist and a regular doc and an OB/GYN; I don't need you to do anything but treat my pain. So are you going to treat my pain, or am I going to file a complaint?"

He looked at me. Then he said, "Okay, here's what we're going to do. I'm going to give you trigger point injections for the spasms, and we'll write you some stronger medication for your pain. Then I'll see you in 2 weeks for an epidural, when you're feeling better and the spasms have settled down, but I'm not going to write valium for the spasms because it's too strong and I'm not comfortable writing benzos..."

I said fine to the trigger points (they do kind of help the spasms for a couple days, not much but at least enough that I can go to the gym and stuff). He does them, and says okay, see the girl at the desk for your scripts and to make an appointment for the epidural.

I go to the desk, and the chick gives me an appointment for the first; then she hands me my scripts. And what did he write me? ENDOCET (7.5 mg oxycodone 325 tylenol) twice a day instead of the 5/325 percs, and 300 mg of neurontin again. I just looked at her, and I said, "Where is the doctor?" She said he was doing a procedure. I took the scripts, went to the pharmacy, then I called his office (I'm not stupid, I wasn't going to say this before I got my pills) and told the receptionist to tell the "doctor" (and I use that term loosely) that I would be going to the Plan next week and letting them know what was going on. And that he could give HIMSELF the epidural in his DICK.

So...I have 60 endocets, a couple valium left, and a little bit of anesthetic in my muscles. I'm done, there's no reason to see this guy ever again.

Sorry this post is so long, but I'm pissed. Gotta get some work done, see y'all later.

ok, thanks dilly.
i really appreciate you asking your sister about all this.
and no, i havn't had a neuro work up done.
but thanks for the advice, i'll mention that to my doc when i go back in.
this is why i joined these forums,
not only because i have a big interest in drugs,
but so i could talk to other people with CP issues.

and im also glad that your gonna be seeing a different doc.
after all you said to him, and the fuck gives you endocet!?
i mean, my doc also has me precribed endocet, but thats just for breakthrogh pain.
she also writes me a sript for 100mg of oxy a day on top of the endocet when i need it.
i can't believe that guy moved you from 5/325 percs to 7.5/325 endocet.
its practically the same thing for fuck sakes.
either this doc has no knowledge on the meds he's prescribing you,
or he doesn't believe that your in real pain.
either way, he's a complete fucking moron.

well, good luck on finding a new PM.
and hopefully your next one is more understanding of what PM actually means.

[Dillygirl]

No problem, hon, whatever you need. She (my sister) knows what she's talking about - this is a woman who was ready to kill me 2 years ago when she found out I relapsed, but she knew how to get me into a suboxone program, AND she took my kids while I was in rehab and the sober house, and now that I've hurt myself she's being hugely helpful (even though I'm taking the opiates again). She totally believes that if medicine can alleviate suffering, the practitioner should do everything in his or her power to do just that. Even if it means writing opies. We don't always get along but I fully trust her medical judgment.

This guy is a quack; he only wants to do procedures, and he does them in his office so he doesn't have to wait for an authorization like he would if he (appropriately) did them in a hospital. I'm wondering if he even HAS hospital privileges. Whatever, I'm done with his ass. My PCP is really nice, so I'll just go talk to her Wednesday (I already made an appointment); I typed up the whole effing saga and emailed it to her so she knows what's up.

My frigging shrink just called to cancel, I was supposed to get new meds today (hopefully the kpin and something for sleep, the remeron she gave me caused me to have SERIOUS nightmares); oh well, now I have no excuse not to work all day.

[Feelings 0f U4ia is Back!]

I am glad you finally put that doctor in his place. It's actually easy to find out if a doctor will prescribe anything stronger. Simply tell him that the tylenol is killing your stomach, and you can barely take the APAP containing pills to try and manage the pain. Inform him that you do know that they have medications with Oxycodone only, and you think you will do better on them.

It's not a bad thing to tell the doctor what you think will work for you. If you are a legitimate pain patient, you have MRI's and real problems, and you have tried all the weak shit he has thrown at you, don't be afraid to tell him it's not working.

You need to ask around...and find a doctor that isn't afraid to manage pain. Honestly, it isn't hard to find one. They are popular for a reason.