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The Pain Management Mega Thread v2.0

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You don't. If you don't have money your shit out of luck. Dr.s arnt free and need to make a living to. You just need to explain your problems to a dr. And have them diagnose you. There's not much more you can do.

And what do you mean misjudge the ones in pain and prescribe drug abusers. Its usually the other way around lol.
 
^by and large, yes... just when you hear about a drug seeker getting drugs it sticks out so in the mind, it seems more prominent than the 20 or 30 who were tossed who tried the same thing that you DON'T hear about.

It varies substantially by region and even by doctor in the same building, there is no universal rule about who gets drugs and who doesn't... its all judgment and discretion on the part of the physician. I've seen 2 or 3 dozen doctors and many of them objected to how I was treated by my PCP in EITHER direction, some thought pharmaceuticals should be used more aggressively used and some thought I should get by on naproxen.
 
Painfully Aware, try seeing a doctor at your student health center (if your school has one) and explain the situation to them. I always had really good experiences with my doc at my SHC back when I was in school.
 
The school does have one. I have yet to discover where on the campus it is but since i pay health fees, might as well find and use it!

& I dont mean to offend you, hydrochron, I just mean that ive personally seen the same doctor see some junkie who talked to me about her "gallstones" (with a wink) and walk out with some prescription that OBVIOUSLY made her happy. While i go in, and because im not screaming and crying, the doctor will tell me she will NEVER prescribe anything stronger than tylenol.

.... & Ive debated faking the intensity of the pain but then id feel just as bad as the woman with "gallstones". =/
 
I see that all the time. The biggest junkies who have no pain issues will get the biggest scripts. Because they are manipulating scumbags. Yet the person who calmly goes in and explains their pain gets nothing. Story of my life, actually.
 
I'm sure it differs Dr to Dr. And anecdotal evidence is only evidence of what someone experienced, nothing more. My current doctor is very aware of drug seekers and is very cautious. Many get turned away. I'm sure some slip through. I'm "related" by marriage to his nurse practitioner. He is overly cautious, to the point where chronic pain sufferers may not get the stronger pharmaceuticals that they require.

But he's also not a pain clinic, he's a PCP. And not all doctors are trained adequately in pain management.

I have always found that honesty with your condition is the best policy. However that doesn't mean you aren't dealing with a doctor that is too stringent on what he will prescribe and why. Not all doctors are created equally. And it may be the case that you need to find the doctor that fits you best. One that will treat your pain and symptoms and also try to resolve your pain. If at all possible.

Good luck
 
Hello all,

My wife was in a car accident about 5 years ago, the accident left her with extremely bad pain in her neck and back. She goes to a pain management doctor who gives her 90x Lortab 10/650 every 90 days, these help her pain, and she has never moved up from 1 a day for the past 5 years believe it or not.

The problem is that these make her feel sick to her stomach, she even breaks them in half and takes half in the morning and half in the afternoon, she does take them after a meal.

Now I admittedly abused pain killers on a very regular basis, so I come across things from time to time that are a real pain in the ass for me (new OC, MS Contin ER ect) which got me thinking, would it be better for her to get something with a time release instead of the lortab? I was thinking that MS Contin might work for her, or would that be too strong and leave her feeling even more nauseous?

I know I feel nothing from a single MS Contin if taken as prescribed without attempting to defeat the time release, but I do have a much higher tolerance than her. I'm also thinking that the pain management doc might think she is insane for wanting to go from 1 Lortab a day to Morphine, I'm just looking for some ideas to help her out and I really don't know what to suggest.

Her pain control doc is a total douche bag who, for all intents and purposes, is a licensed drug dealer. She goes in, pays a co-pay and he writes her a script. He doesn't really examine her, never evaluates her medications.. Nothing.. I get better treatment from my dealer (seriously).

Any thoughts or suggestions would be great, again she's not someone who uses drugs for recreation at all, so anything that will help the pain without making her nauseous would be great, something that would last all day and do the same would be even better.

I appreciate it guys.
 
I am in desperate need of any and all advice and tips on pain management please!
I have Ankylosing Spondylitis which was brought on by some sort of Inflammatory Bowel Disease (Not to be confused with irritable bowel syndrome, a completely different thing).

For those who don't know, Ankylosing Spondylitis is a severe form of arthritis found in the spine. It brings forth chronic-severe pain, along with the possibility of full spinal fusion (the vertebrae becoming fused together). The inflammatory bowel disease also gives me semi-chronic pain, but pain that is exponentially worse. There is days where the IBD pain is so much that I can not even stand and am literally forced to crawl myself across the floor to the bathroom.

I have been seeing my doctor on a weekly basis, to no avail. We all know how doctors work, pharmaceutical companies give them really nice vacations at Caribbean 5star+ resorts, paid for, as a bribe to prescribe THEIR meds.

I really need people to give me any and ALL suggestions on medications, techniques, ANYTHING, that will help me manage these 2 conditions. Its getting to the point where its becoming unbearable. Grades is school are falling at an accelerated rate. Pills, regimes, OTC supplements. I am ready to try anything.

Just a side note (medication wise): The dr has put me on 300mg tramadol, butorphanol nasal spray, lyrica, indocid for the spondylitis pain thus far. At doses of 600mg+ daily tramadol pain was still very much there and very strong, so we added lyrica (first try) and indocid (2nd try), each for a week taking up to 6 capsules of lyrica (25mg caps) a day, then we scratched all of those and he moved me on to butorphanol nasal spray, saying its what they diagnose to people who FRACTURE their spine. Prescribed dose was 1-2 sprays once daily when needed. For the first few days I stuck with that dose, despite the fact it wasn't working. I even tried 4 sprays one after the other in the morning a few days, which also didn't help. My mother, doctor and I are currently in the process of filling out all the required forms in order for me to get my Medicinal Marijuana license, one which will allow me to possess and grow.

I need something for the NOW as I am in very hard courses at school (Calculus, Physics, etc.) and it is my senior year, final semester. I really just want to get the school over with, but its becoming harder and harder.

THANK YOU in advance to anyone and everyone who is able to help me out in anyway.
 
GBM-

Dude if you have that serious of a disease you need to be seeing a specialist for your spine with integrated pain management. You should obviously start on the lowest dose possible, but I would say either Norcos (Hydrocodone 10/ APAP 325) and see how that goes, but you'll probably at least need something like oxycodone in a single agent pill because lots of Paracetamol over time is bad for your liver.
400mg of tramadol is probably like 15mg of hydro/oxycodone, although it is hard to quantify since Tramadol has multiple modes of action.

So like I said, start as small as you can (your Dr. will want this also, and work up from there.)

I personally feel that the morphone class drugs are better for long term use, but their BA is low orally (which doesn't matter at Rx'd doses) unless you have any kind of digestive or liver impairment, which it sounds like you do. I would look into hydromorphone as it is very strong, can be used for fairly-immediate relief orally, doesn't require lots of digestion or metabolism, and is easier on your bowels.

OK, so that's just for the meds.

You should see a traditional Taoist 5-point acupuncturist. It REALLY DOES help with ailments, especially with your digestive track. A good acupuncturist will also give you diet advice and supplements that will help. You really have to put alot of trust in the acupuncturist doing your treatments, like you can't get just anyone or skip around. It's really personal and they are really good just to talk to, a good acupuncturist makes you think about yourself an your health so much more. I could never Imagine that it would actually help this much, I was always super skeptical, but it is rad.

This shit really works - It isn't a replacement for western medicine, but in combination, the whole is greater than the sum of its parts.

Exercise. Lots of exercise, as much as you can get within (if you have them) your activity restrictions. you gotta be doing stuff so the body produces its own endogenous opiates also.

If you are in a state that allows it, I would certainly get Medical Cannabis. You are certainly qualified. If not, talk to your doctor about Marinol (synthetic THC pills)
EDIT: just saw you are in the process of getting it - good.

She seems to be just tacking on drugs rather than using a strong(er) opiate like she should. This can be just as or more dangerous than just writing a decent opiate script.

So is she a spinal specialist? If not I suggest you find one immediately. They can do things like nerve blocks and spinal injections for long-lasting pain release. The use lots of different medication from benzocaine, epinephrine and whatnot to depot shots of hydromorphone and an NSAID.
IF these work well they can then implant a nerve pacemaker that disrupts the pain signals before they hit the brain, so you will be able to get better relief from your medications. If you don't want an artificial part in your body (I don't) they can just continue the shots which you can do anesthesia for so you don't even feel it, and they are great.

Check out those options in your area and get back to us, eh?
Best of luck, PM me if you have questions.
 
LaurieTab said:
Hello all,

My wife was in a car accident about 5 years ago, the accident left her with extremely bad pain in her neck and back. She goes to a pain management doctor who gives her 90x Lortab 10/650 every 90 days, these help her pain, and she has never moved up from 1 a day for the past 5 years believe it or not.

The problem is that these make her feel sick to her stomach, she even breaks them in half and takes half in the morning and half in the afternoon, she does take them after a meal.

Now I admittedly abused pain killers on a very regular basis, so I come across things from time to time that are a real pain in the ass for me (new OC, MS Contin ER ect) which got me thinking, would it be better for her to get something with a time release instead of the lortab? I was thinking that MS Contin might work for her, or would that be too strong and leave her feeling even more nauseous?

I know I feel nothing from a single MS Contin if taken as prescribed without attempting to defeat the time release, but I do have a much higher tolerance than her. I'm also thinking that the pain management doc might think she is insane for wanting to go from 1 Lortab a day to Morphine, I'm just looking for some ideas to help her out and I really don't know what to suggest.

Her pain control doc is a total douche bag who, for all intents and purposes, is a licensed drug dealer. She goes in, pays a co-pay and he writes her a script. He doesn't really examine her, never evaluates her medications.. Nothing.. I get better treatment from my dealer (seriously).

Any thoughts or suggestions would be great, again she's not someone who uses drugs for recreation at all, so anything that will help the pain without making her nauseous would be great, something that would last all day and do the same would be even better.

I appreciate it guys.
Click to expand...

I smell BULLSHIT. You are trying to manipulate her and her pain doctor so you can use her meds to get high, go get fucked man.

If she needed more than 1 Lortab a day I'm sure she could use her recommended script (if you weren't busy taking most of them it sound like). Or she could ask her doctor about ways to combat the nausea - there are several, from promethazine to OTC Diphenhydramine.
Or she could ask her doctor to switch meds herself if she IS having trouble.

So in closing, seriously FUCK OFF. If you had a legitimate question I would be more than happy to answer it, but I'm not going to tell you what med to coerce your wife into getting from her Doctor in an ER form so you can abuse them as easily as possible.
 
Yes, I want to get my hands on all of the drugs with extended release as I possibly can...?

Why wouldn't I just take the lortab? Lortab give me a far better high than anything with a time release, I prefer them to anything except roxy to be honest with you (look at my name).

I have no problem getting drugs, I have no need to take her drugs, which she actually needs.

Again, if my motive was truly to get high and use her to get me drugs, that would be a very poor way of going about it - I am asking for something that will help her all day, and won't make her sick.

I have never touched her prescription, and never will - I would rather go through withdrawals than touch her medication.

Thanks for the very misdirected and hostile reply, but my motives are not what you think they are.

Edit - We actually decided to set a doctor appointment for Monday to see about trying Flexeril, as these really helped me with a knee injury, can't wait to abuse these.
 
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Right on, man.
Everything sounded like it was pointing to that.

Why doesn't she try Kadian (morphine) or Opana ER (oxymorphone) for 24 hour relief.
 
We were thinking about getting a medical card, but she can't exactly toke up during work. Hopefully the flexeril will work, I just think they might make her really drowsy.

Kadian lasts longer than the MS-contin? Or are they the same thing? She is switching pain docs ASAP, hopefully we get a good one who can actually help her.

By the way, I understand your initial reaction, but I do have morals and wouldn't exploit my wife to get a fix, I live in Las Vegas and pharms are extremely common here as you can imagine.
 
Opana ER or Jurnista (Oxy and hydromorphone extended release) are probably the best drugs for 24 hour relief with little complications and lower propensity for addiction than morphine, also less itching, less hystamine reaction, 4-5x stronger by weight than morphine. They are not as toxic as methadone which is really your only other option.
 
What exactly is meant by "not as toxic as methadone?" I have a far too complicated story that will prob bore you all, but to keep it short I ended up self medicating my chronic pain with methadone, then ended up getting it prescribed from a pain specialist. I also have struggles with addiction as well and got booted for testing positive for coke a couple times.


So I ended up seeking treatment at an addiction center and thankfully ended up with a very understanding doctor, although he knows nothing about pain or addiction.. We decided to try to wean me off the methadone slowly, which is what I really wanted, but was unable to do it. I was supplementing with methadone from outside sources. I did not tell him that of course, but told him I was no longer sure I wanted off the methadone because of pain problems, which is also true..


So, to my point.. He is keeping me on the methadone till I find a doctor that can treat my pain. it's a very minimal dose (25mg) that I always run short of.. I also have been traveling all winter and have come up with numerous reasons why I "needed" an early fill.. But I am back for good and really need to find a pm doc cause I feel like I'm pushing my luck with him. Any new doctor is going to want to see all the treatments I have been through, but will also see my drug use and my self medicating history..


Okay, this is longer than I wanted it to be, so here are my questions..
The first one about methadone being toxic? also, is there a way to clean my medical records up, like as in having them sent to me first, so they can see the very numerous treatments and medications I have tried but taking out any, ahem, undesirable parts? Or will the new doc just want them released right from the last place? Also, what do they do with patients that have legitimate chronic pain but also addiction issues.. Suboxone is not an option for me, and I have tried the methadone clinic twice. First time they would not take me because I had methadone in my system, so I kicked it and tried again, but that time they said no cause I had valium in my system.. (I unfortunately picked up a benzo habit while trying to kick the methadone.)

Luckily my "addiction" doc gives me a script for ativan.. So when I pop for benzos at least I will have a cover.. (although I really want to ask a drug testing question I know this is not the place..)

I guess I did not keep this short and uncomplicated at all.. Thanks for any ideas or help you can offer.
 
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^Medical Record Confidentiality Rights

I could go ahead and quote all the relevant information, but its all pretty easy to find on the first page. Should answer your questions about medical records.

OK i'll quote something anyways.

The federal Health Insurance Portability and Accountability Act (HIPAA) sets a national standard for privacy of health information. It was implemented in 2003. But HIPAA only applies to medical records maintained by health care providers, health plans, and health clearinghouses - and only if the facility maintains and transmits records in electronic form. A great deal of health-related information exists outside of health care facilities and the files of health plans, and thus beyond the reach of HIPAA. (PRC Fact Sheet 8a: HIPAA Basics)

The extent of privacy protection given to your medical information often depends on where the records are located and the purpose for which the information was compiled. The laws that cover privacy of medical information vary by situation. And, confidentiality is likely to be lost in return for insurance coverage, an employment opportunity, your application for a government benefit, or an investigation of health and safety at your work site. In short, you may have a false sense of security.This guide provides information on medical records not covered by the HIPAA Privacy Rule.
Click to expand...
 
Yeah, I technically know my "rights", but I guess I'm looking for anyone with experience. Anytime I have started with a new doctor or clinic, they have wanted me to just sign a release of my old hospital records.. Does it look suspicious if I show up with my documents? That way I could pick and choose what I wish to show them? Or are they kinda on to that trick..

Part of me just wants to be honest so I can treat my pain issues and addiction issues as well. But I worry that my pain will take a backseat and just go untreated, as was the case for many years. And if that happens I know I will end up self medicating..

But thanks for the link, it's always good to brush up on exactly what the law is, although I'm still a little confused on the part about my insurance, and what they can and cannot share with who..
 
I am not really sure if it will be "suspicious" if you show up with them. I have had to bring copies of MRI's and CT Scans with me before when going to a new place. I am not really educated on medical record rights and whatnot, but I don't think you would have a problem obtaining your records. It's just that you would have to go around to EVERY doctor you've seen in the past, if they are using non-electronic records. If all your stuff is electronic than typically they just forward it to the new doctor if you move or what ever.

Best thing you can do is ask your doctor's office for your records.
 
Doctors can choose NOT to release certain things to the patient when you ask for your own records, but they will keep them in records they send.
So you can't really get around it, you're going to have to deal with them knowing you have an addiction history.
My records indicated that I was a pill seeker (I'm not) and after talking with me for a while, my new doctor told me he thought I was fine and understood my pain issues, and actually told me and showed me where my previous pain dr. had written that.
 
Thanks guys, there is nothing in my records saying that I have addiction issues necessarily.. Just a couple ua's with cocaine, and me telling the truth to the doctors that I had been treating my pain on my own with methadone. Most doctors have been understanding about my opiate use actually, surprisingly..

Then again some have assumed I was just looking for drugs when really I was looking for any treatment that would help.. Which I think I have now proved by trying every conventional, experimental and holistic treatment you can come up with. Maybe I am worrying too much about a little cocaine use? Yeah, I'll keep telling myself that!
 
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