The difference is startling between for-profit "health care" in the US and the rest of the "civilized world" on this point too. Here, they prefer for us to be on as low of methadone or suboxone as possible and want you to end as fast as possible, because it's money out of everyone's pocket, not to say that since I was there for the initial 6 days of methadone treatment in the very strict full of surveillance inpatient detox clinic, mixed in with every kind of addicts, cokeheads, alcoholics, methheads..I was the only one there who was starting an ORT treatment, old alcoholics and preppy young as fuck cokeheads really pissed me off, the only guy in my age bracket was the most depressed alcoholic in there who barely ever ate his food, the whole 6 days I was there. He had done it all, still had a never-going-away heroin trackmark on his arm, one still visible hole ffs that wouldn't repair all the way for some reason, freaked me out, but he was there because of just alcoholism. Now the kids don't have much access to clean LSD or MDMA or even clean meth pills (they get piped or even worse PMMA'd and a bunch of other bullshit half the time compared to a decade ago)there was a major explosion in people using the ORT clinic, they changed protocols and we don't even see the doctor unless we need to or if it's been a long time that we saw whoever's on the job that day. We see one of the nurses, it seems that since I'm such a good boy I get only the friendliest nurse in there everytime I go in and when I see the doctor, it's always the guy I get along with very much, just slightly older than me, he was a skater/punk/metalhead way back and he's also very smart, not like one of them who's such a bitch of an SS, that asking her for a different proton-pump inhibitor (it is them that put me on a PPI, since an alkaline stomach makes methadone work better, and I already had been on Nexium and Pantoprazole in the past. I asked for Rabeprazole 20mg and it was like if I asked her for a script for some Dillies, and she was stuck on the fact they scripted me Pantoprazole, but I told her no, later on Dr. XYZ switched me to Nexium later on (they got this huge binder for each patient) and making the decision to switch me to a different PPI was like an affront to her.
Anyways, I'm glad how things are now, I only see the doc I want to see, they barely pee test me anymore, since it's a waste of money, cos I proved I didn't fuck with meth, coke, alcohol and as for my benzos, I am allowed to be on them and they don't give a fuck about weed, when I toke, it's when my brother shows out of the blue from when he's back from wherever he was (one of those people who's job means sitting in an airliner 20 hours a week) and that otherwise I don't toke, which they saw it wasn't a regular thing, and they know how if I smoked 3 weeks ago, it might show up. When I got a sinusitis, I called them to tell them I bought some Sudafed and that if I have to do a piss test, I know it can cause a false positive for amps/meth, and sure enough it did. It's a kind of prison within a prison, but here showing you want to get better and they will help you a hell lot in case of bad side effects (like how it happened with methadone after 11 months on it for me, which caused me to need Suboxone and have the script have a code on it because I wasn't making enough money to support that med (now we have teva generics, who are also kinda expensive, but when I had boxed brand name Suboxones, fuck, a box of 7 8mg Sub and 7x2mg cost almost the same thing, yep, 2mg being as expensive as the 8mg...first time I see a drug where the lower dosages aren't cheaper. But yeah, can't say prices, but it's eye-popping expensive to pay for your own Suboxone, even if you pay your government insurance, it's not covered unless they write in a special code on the script.
Anyway, here they know that more suboxone isn't better, usually. Especially since I ended up there because I was on a constant opioid treatment for moderate to sometimes very harsh pain then that maxilofacial dentist retired on me without warning and I was fucked, so I got what I could from the ER with my documentation sometimes, and ended up finding an old guy who was on really strong shit (4x30mg HM Contins a day + 8x 4mg Dilaudid for breakthrough pain, that's a hell lot of hydromorphone so much that he really felt it orally, heh). All this to say, once I asked, "if I raised my 10mg a day to 12mg a day, it wouldn't help much for the pain right Doc?" and he told me not really, buprenorphine is limited for pain and I was like "yeah...in Europe they use it for pain, and they're 0.2 and 0.4mg pills, and my grandma wears a BuTrans patch, when I looked at the dosage, I saw that for people who haven't slipped into shooting 64mg of hydromorphone a day and such, the lower the dose of bupe, the better when it comes to pain.
At least they scripted me Fentanyl pills when I was in need of something for massive pain twice in 3 years 3/4 of ORT. First time I got a Fentapop. It helped with the pain but not until 5-6 days without taking the bupe would it not give me a massive headache to mix the 2 (well, I wasn't mixing anything, but the bupe was still in me). Well, good luck Ranchlands.
