Opioids about to go in pain managment any advice for me? im 23 , i need help/advice

[ssjthor]

Okay so heres the short version of my story.in october of 2012 i was hit by a car going 50 mph. I was a pedistrian. It broke my tibula and fibula in seven places and did alot of damae, i was going to an orthopedic surgeon since. He would give me a 120 5mg oxycodone 2 every 6 hours as needed for pain.
Until this week! I saw him and he treats me like crap, but this week he just didnt want to see me anymore. Thank god i had my mom with me! He kept trying to walk away and wrote me my like script! We asked if he could do a months worth just incase i cant find a dr. in time but he said"absolutly not! And said painkillers r the number one death for women in ages 30 to 50"

Wtf! I thought he would at least wean me off! He never told me wat was wrong with me till this time! My mom was pissed she asked "why dind u give him an mri!" His response was "bcs mri,r r for injuries we can fix surgically!"
He told my mom me knees are degenerating and that my lombard or w/e was stretched/damaged? And lower back

So he wrote me a referal to a pain managment clinic and i left. So heres my question what do i do ,how ,and what do i need for pain managment? I cant just stop taking 120 percocets cold turkey on my own. Im in alot of pain and im sure theres more shit wrong with me if they did an mri. What do i need to bring there?will they do anything since im only 23? Just bcs im 23 i dont think they shouldnt help me! I got hit by a car as a pedistrian how am i suppose to live life, i walk with a limp! Plz any advice will help!

My mom has a friend who goes to a pain dr out of my county, for $375 and she says i could get percs there, but his online reviews suck. And my other friend says go to the spine and neck clinic(they are a coporate pain mangament) and will charge $300

What should i do? Which one will treat me better? Should i go by word of mouth or online reciews? Advice on any issues plz! (Btw i dont do illegal drugs, i hate pot, i might buy a couple percs off the street if im in more pain, and i quit drinking a year ago*)

 

[RTrain]

lumbar(you wrote lombard) is the spine from where the ribs end to the tail bone. You have 7 cervical (neck)spine, 12 thoracic (chest/upper back) all have a rib connected to them, 5 lumbar (lower back)and then 5 sacrum(very low back to the tailbone) and a few more make up the coccyxx (tip of tailbone).

First off I would say your Dr is a jerk. But unfortunately that is all too common these days. You are a man, I presume, at age 23 so why is he spouting out statistics about 30-50 year old women? Almost sounds like he is insinuating your mother is taking the medication just b/c she vouched for you, which is absurd and so unprofessional.

The state of pain management in this country disgusts me. I mean he is giving you 20 mg a day, you couldn't even feed yourself selling that on the streets. I think a big problem is Dr's think they are playing some active role in curbing drug abuse and stuff. These Dr's should act more like health care providers and try to help patients instead of trying to be junior detectives and picking out who they think is abusing or selling their pain meds. ALL they are doing is making heroin more popular again by putting these restrictions on pain meds and then the pharm co.'s make the pills abuse proof. Oh ok! well now everyone is just going to use heroin again, problem NOT solved. But at least the doctors and pharm co.'s can sit back and say "we tried to help" and act like the are morally clean now.

But anyway, I would say try that spine clinic out, they specialize in the area you should be most concerned with: your spine. You don't want to mess around with it, its a very intricate part of the body. Every function of your body is controlled via messages sent through the spine. Obviously the lumbar is less of an area of concern than the cervical spine which is a pathway for breathing and heart rate functions. But the lumbar is still a large area of concern.

Do not just make your decision on a Dr based on who will give you the most pain medication.

 

[Kid Amine]

Okay so heres the short version of my story.in october of 2013 i was hit by a car going 50 mph.

You got hit by a car 4 months from now? lol. just messing with ya a bit man, Im sure you meant to type 2012 or 2011. anyway, yeah your doc sucks, but he did give you a referall to a PM doc, which is good.

I have experience with only one PM doc, and disclose everything on your record - my gf's doc does a THOROUGH background check, and if what you tell him matches what he finds, he will take you on as a patient. If you lie, well, you're probably screwed. Not telling you to lie, but I would stop drinking alcohol now (if you do) and no illegal drugs (coke, heroin, etc) because it's a huge fkn liability for him/her to prescribe you pain meds if they know (or think) you are going to be mixing them with other drugs not prescribed by him. Word of mouth is how she got on with her doc, he's kind of a dick too, get a 9:20am appt and you'll be lucky to leave by noon. and if you get on PM, DO NOT fuck up your pill count or use recreational drugs, you will have to sign a pain managment covenant that covers all of what Ive typed and much more. Do not ask for early refills, or say you lost your prescriptions, because chances are high that he will say "tough shit" or worse (drop you w/no referral). You will need accompanying paperwork, and x-rays and a MRI are typically part of that. So, you have some work to do before you get your foot in the door with a PM doc. ymmv.

 

[Livinginthealps]

I have to say your about to have a long road ahead of you brotha. I started my PM around the same age do to a condition that came upon after an emergency surgery. I strongly suggest you work on other ways to deal with your pain. Getting put on pain medications this early in life can really only go one direction. I will tell you it is NOT easy. The stress that comes with being a pm patient. Between, the stigmas, shitty drs and nurses, picking up your script monthly, contracts, possible DT's (I don't take dt's but, I know others have to), worrying about getting low on your meds, worrying about getting dropped by your DR. All these plus many more are stuff us PM patients deal with monthly/daily. You being the age you are means all this stuff most likely will be ten fold.

Have you ever abused prescription medications before? Especially, opiate medications... I ask this because if the answer is yes, I would take a step back an re-evaluate your situation. There are many other treatment plans. A PM dr will most likely not script you pain meds your first visit unless, they feel it is 100% necessary. Which will be rare for someone your age.
Once you start taking pain meds as scripted, your tolerance will just go up from there. Are you prepared to be dependent on these medications? It honestly is a bad path to go down but, I understand what being in pain is like. I am very careful and take my meds as prescribed. I don't run out early. I don't go seeking elsewhere. This is all VERY important and is what will get you dropped from your dr. (and addicted).
I really suggest you reading peoples advice and then taking a step back and re-evaluate your situation.

There is occasionally a bad month where I need a little more meds than normal. But, that probably is because I am only on my breakthrough meds not my long acting as well. Long acting medications create more harm then good for my condition.

Do you smoke marijuana? if so are you in a mmj state? Cannabis can really help and has been a life saver for me personally.

good luck

 

[ssjthor]

I rarely take more than prescribed, and i do not do any illegal drugs. I hate pot, i dont smoke it bcs it gives me panic attacks and i quit drinking a year ago. And i hate alcohol now. I was on diladids a month after the accident, hated the high feeling, so i switched to percocet.i like it bcs i dont get the high feeling, ive been on it for 7 months. My dr just dropped me, wouldnt even suggest to taper me off.. and honestly ive on somedays try to go without my percocet but the pain is unbearable. My leg where it broke 7 places has healed but hurts, my knees constanly hurt, my back hurts , nd my shoulder hurts and neck bad. But he never did an mri so idk whats wrong with that. Im just mad cuz i never abused drugs in y life, and only thing i use to do was drink but i quit that! I get that bca of my age ppl are just suggesting to get off the pain med, but shit u get hit by a car at this age and tell me that. I would like to try anything now, even if the dr doesnt give me as much percs i hope he gives me a long acting medicine cuz i want my old life back. I almost got my tattoo liscence but the constant viberating of the machine hurts!

 

[ssjthor]

Im not going to smoke weed, i hate it, and it gives me panic attacks, and if i smoke it and go to a pain managment dr, it will show in tje piss test then i wouldnt be allowed to get medicne to help me. I got hitnby a car, i only listed some of my probelems cuz thats all i know. I never got an mri bcs my dr was an asshole! I bet theres more wong with me like my neck and shoulders bcs they hurt bad. Im nots saying i only want percs from a pain managment dr, i would like to try other shit too. Pain patches, injections, idc what! But i would like percs just in case some shit doesnt work bcs im in so much pain i dont want to wake up somedays! Im bout to go to physical therapy but i dont even walk yet! When i try to walk my fucking legs hurts like hell! It broke in 7 places, im shorter on it ,and i walk with a limp. Just bcs im 23 im not stupid. I have alot of friends who i lost to opiate addiction. And chronic pain patients are rarely gettn nigh off there meds. I never snort my perca, and if i was gettn high my fiance would leave me. I tried not being on them but im in so much pain, (not sick ) im crying. I cant change the past, i gotta live with the fact i got hit by a car and nothing will be the same. But the answer isnt pot. I look down on it and think it should be illegal. Unless u really need like cancer patients, pot heads are just as bad as addicts. They spend all there money lookn for it, and when there out they act like spoiled toddlers who dont get there way. Im glad u like it but plz if ur going to suggest advice dont tell me to trade one drug for another like weed! And dont tell me how its different bcs its not. I dont want to hear it thank u its my opinion and i personaly dont like it.

 

[twotoomany]

You may not like pot, and thats fine, but you don't need to put down the people trying to help you. It actually helps a lot if people with a lot of issues, and is far less addictive than your current drug. Also, most people don't get sick or become whiny little bitches when they are out of weed. Sorry, it's just not the case. .

You really want to think carefully about your pain management options. Did you stop to consider that some of your pain may be "rebound pain" caused by your dependence? Whether you want to admit it or not, you ARE physically dependent on opiates. You've been taking them for seven months.

 

[served00]

That sucks. You got a strict doctor. Which I dont really blame a doctor for being strict with opiates in todays day and age with how things are but you werent getting half of what you should have been getting for that type of pain. I was in a car accident where i broke my femur and tibula (and honestly it didnt even hurt that much, esp if I took ibuprofin) but I was a heroin addict already before this and I was prescribed 60 30mg oxycodone every 6 hrs and 90 4mg dilauidid as needed every 4 hrs. And this is with my doctors KNOWING I was a heroin addict.

Anyways, I blew threw that months script in 4 days and called the doc and he wasnt surprised and put me on 20mg methadone every 6 hrs but by that point, I was sick of the rollercoaster of my addiction and didnt take any methadone and just kicked with my broken leg just taking ibuprofin (which surprisingly worked better than the opioids). I kicked for 7 days with a broken leg and it sucked but I got thru it.

That was like 4 years ago, I still maintained a heroin habit until recently. Where now Ive been clean for 1 month kinda just white knuckling it.

Good luck in your ventures. Find a new, more compassonate doctor, complain how your last one was a bitch.

 

[Corazon]

Okay so heres the short version of my story.in october of 2012 i was hit by a car going 50 mph. I was a pedistrian. It broke my tibula and fibula in seven places and did alot of damae, i was going to an orthopedic surgeon since. He would give me a 120 5mg oxycodone 2 every 6 hours as needed for pain.
Until this week! I saw him and he treats me like crap, but this week he just didnt want to see me anymore. Thank god i had my mom with me! He kept trying to walk away and wrote me my like script! We asked if he could do a months worth just incase i cant find a dr. in time but he said"absolutly not! And said painkillers r the number one death for women in ages 30 to 50"

Wtf! I thought he would at least wean me off! He never told me wat was wrong with me till this time! My mom was pissed she asked "why dind u give him an mri!" His response was "bcs mri,r r for injuries we can fix surgically!"
He told my mom me knees are degenerating and that my lombard or w/e was stretched/damaged? And lower back

So he wrote me a referal to a pain managment clinic and i left. So heres my question what do i do ,how ,and what do i need for pain managment? I cant just stop taking 120 percocets cold turkey on my own. Im in alot of pain and im sure theres more shit wrong with me if they did an mri. What do i need to bring there?will they do anything since im only 23? Just bcs im 23 i dont think they shouldnt help me! I got hit by a car as a pedistrian how am i suppose to live life, i walk with a limp! Plz any advice will help!

My mom has a friend who goes to a pain dr out of my county, for $375 and she says i could get percs there, but his online reviews suck. And my other friend says go to the spine and neck clinic(they are a coporate pain mangament) and will charge $300

What should i do? Which one will treat me better? Should i go by word of mouth or online reciews? Advice on any issues plz! (Btw i dont do illegal drugs, i hate pot, i might buy a couple percs off the street if im in more pain, and i quit drinking a year ago*)

yes you can.
you will be totally fine from stopping 10mg percocet.

stopping 10mg every 6hr cold turkey will make you feel crappy for a few days and in a week you will be back on your feet.

Millions of people who have had accidents or surgery have been in your same situation, so you don't have to worry.

Definitely do NOT order pain meds online. 1. We can't recommend that here. 2. You take a legal risk 3. you take a risk in what you get and entering a worse addiction level.


Do go to your pain management appointment. Have them examine your lower back and knees and your ingrown toenail. Whether or not you limp is going to be irrelevant, but they can document your injuries. Save the drama, but do be straight forward with your description of your symptoms and limitations.

You may need a crutch(literally)(sorry dry humor), but you don't want addiction to pain medicine to be your crutch. That can end up holding you back from making progress, as in some people who become addicted to the pain medicine feel the need to relive their traumatic situation and rationalize the need for narcotic pain medicine. It can lead to a stagnant health situation, where part of the brain doesn't want to get over the physical symptoms of the accident. The goal is to rehab from your injuries and move on. Now is the time to make a comeback and be at your best. You have adversity to overcome. Good luck.

 

[ssjthor]

You may not like pot, and thats fine, but you don't need to put down the people trying to help you. It actually helps a lot if people with a lot of issues, and is far less addictive than your current drug. Also, most people don't get sick or become whiny little bitches when they are out of weed. Sorry, it's just not the case. .

You really want to think carefully about your pain management options. Did you stop to consider that some of your pain may be "rebound pain" caused by your dependence? Whether you want to admit it or not, you ARE physically dependent on opiates. You've been taking them for seven months.

Ive seen alot of ppl who act like whiney bitches when they run out of weed, they are in a bad mood and make everyone lives hell! A drug i still a drug, even though ppl say there no physical addiction look at the brain after they have done weed for years. Its not rebound pain . Asshole, have u ever thought , shit maybe getting hit by a car as a pedistrian * and should of died hurts, and the pro pot fucking mentality pisses me the fuck off. Pot heads think there so much better than every druggy when they are just the same. How many herion addicts started doing drugs cuz they started smoking weed? It isnt at innocent as u put it. I account some maybe 10% of my pain to rebound MAYBE ! But thats it. I stopped using percocet for 5 days and it was the worst pain in my life, i wasnt having flu like symptons. And i have heart issues ive been afib twice! And when i dont take mynpain killers and im in pain my heart pressure goes up! Im gonna start physcial therapy next week , but i dont see how im suppose to complete two months of it if i will run out of my pain meds in a week and a half. I appreciate everyone esles advice but ur pro pot liberal bullshit doesnt do shit. Plus virginia is strict on pot laws, im NOT GOING TO LOSE MY DISABILITY ON GETTING HIGH! Thanks bro but please stop replyong on my thread if u dot no useful information.

 

[ssjthor]

Okay im done agruiing about the weed. Can we close this thread, im fucked anyways cuz my insurance wont pay for pain management. Fml

 

[WeeksendinginY]

This guy thinks pot should be illegal.

Fuck you Ssjthor you uneducated little prick.

 

[.:Holy::Toast:.]

This thread hurts my fucking head.
And frankly if you wanna see some whiny bitchy people try taking the opiates away from a long time opiate user.
I guarantee they'll be bitching a lot more than someone who ran out of weed, plus they'll probably be vomiting profusely and shitting slop.
I really don't get the hate for weed compared to long term opiate use.
Opiates shouldn't be used for chronic pain, but when the pain is so bad as may be the case in your scenario it might be the best shot you have as weed doesn't have near the analgesic properties as opiates.

As well for the future, don't bash the people you're asking for advice.
I respect your opinion on pot, as it is your opinion and solely your opinion, but please respect ours as well.
We don't need to be called whiny and stupid based on a small lifestyle choice.

 

[opiatekrzy]

im young also, and i been getting treated like shit by primary doctors. this is off topic, but i had a GREAT primary/family doctor, he gave me klonopin for my anxiety, and adderall, and knew i was on suboxone. he said he rather me avoid seeing a psyciatrist for the adderall and klonopin as those are mental health meds for MY DIAGNOSIS, and deal with him if im honest. unfortunately i fucked that up, EVERY SINGLE family doctor i went to after that told me "i will NEVER give you any mental health medications, adderall, or benzos, u need to see a psychiatrist for that!!!" ------LOL SO I SAW MY PSYCHIATRIST! she wouldnt continue my klonopin cuz i was on suboxone. and i had a 3 month supply of klonopin to last me till i can find another doctor to continue, and the psychiatrist told me she wont help me wean off or continue, and to see a FAMILY DOCTOR in regards to that matter. so i see a family doctor, and he said "NO, u need to see a psychiatrist" i told him i saw my psych THAT DAY and she wouldnt help me wean off klonopin, and he got all pissy, mind u this was my 1st appt with this doctor, but he gave in and gave me a taper script of klonopin, and said it was very wrong of the psych not to help me with that since he is just a family doctor and he doesnt specialize in that stuff, and went on a big speel bla bla bla (im 27yr old male BTW). so what the fuck are family doctors purposes then!? if ur in pain, GO TO PAIN MANAGEMENT, i fu have anxiety/panic attacks, or depression, or whatever, SEE A PSYCH!!, if u have stomach issues, SEE A G. I., haha what the fuck does a family doctor actually do if all they do is refer u to specialist for every little ailment. its bullshit. but i know its just the doctors i ran into playing by the books, and having a psych. thats a complete bitch. eventually ill find a family doctor thats more old fashion and will have me under his care with klonopin for anxiety, and adderalll if i need it for school, work, etc..or fuck even if i need a lortab! (lol my former family doctor offered me lortab 7.5mg cuz he saw me with ANBESOL in his office for a toothache, and i had to decline cuz i was on suboxone, so there are good doctors out there , and bad doctors, whatever ur guys definition of a good doctor is, thats on you..my definition is one that wont give u trouble and will write u prescriptions and take ur word of a diagnosis (just not too out of line i mean, but u know )...egh fucking doctors

 

[twotoomany]

Come back in three years, when the dope has you hook, line, and sinker. Then see how you feel about your precious pain meds. I'm not doubting that you're in pain. But there clearly is a reason your doc cut you off. I have a hard time believing its simply because he's a dick. Although admittedly that's possible. Could it be because you blew through your script too quick, then went to the ER for an ingrown toenail seeking more meds? Idk. I've given you the best advice I can and been called a pot-head hippy liberal scumbag asshole. I'm pretty much done trying to help you. You'll figure it out on your own eventually. No one plans on an addiction to pain meds. It just kinda happens.

Ps...ask most people what their first drug was, and you'll find it was usually alcohol or tobacco. Notice that these dangerous "gateway drugs" are state sanctioned. I'm just sayin...

 

[RTrain]

opiates shouldn't be used for chronic pain? Then what should be done for them, NSAIDs? Oh or maybe they can meditate the pain away.

 

[nintey]

Firstly you need to look online for a orthopedic surgeon in your area who has positive reviews. You need a mri, possibly ct scan and you need surgery. Also you should look online for a pain doctor who has positive reviews. There is no room in this world for doctors who are not compassionate and honestly you don't want to be on pain pills your whole life so you need to get to the root of your pain.

 

[missmeyet?]

Ok...actually this scenario sounds identical to someone under a different screen name that had been posting recently about the exact same problem, same age and with the exact same attitude. Not sure why he would change names but how much of a coincidence could that be??

Not sure where the attitude is coming from but OP, as a nurse and someone who has also been in pain management for many years all I can say is that you have a long, hard road ahead whether you do stay on pain meds long term or you don't. Things are a changin' in the US no matter what state you are in (pretty sure we have discussed all of this before) and not only is it already getting strict it is about to get much worse. Your attitude of "I am owed pain mgmnt meds cause everyone else gets them that has way less wrong with them than I do" will not get you very far in life or with the docs. They are not going to jeopardize their livelihood for a kid of 23 who has no injuries showing on an MRI. Check out the other thread which I will post below in a few moments after I find it again.

Life sucks when you hurt and I know it can make you act like an asshole but no reason to be nasty to people trying to help. I think you are super lucky that they kept you on meds for 7 months and said before not to be surprised when they stopped. Hope you find a solution but I'm afraid you are in for a long, hard road ahead!

*EDIT*

I apologize....same screen name, same person...different thread about exact same issue!8)

 

[.:Holy::Toast:.]

opiates shouldn't be used for chronic pain? Then what should be done for them, NSAIDs? Oh or maybe they can meditate the pain away.

By that I meant in a perfect world they shouldn't because of the high addiction potential, coupled with the cost of prescription drugs for those without much cash, can cause alot of havoc and heavy opiate addiction.
On top of that throw in the fact that those with severe chronic pain have a much harder time finding work. It's a vicious vicious cycle.
However I obviously know that when people have severe chronic pain there's shit all they can do but use opiates.

 

[opiatekrzy]

opiates shouldn't be used for chronic pain? Then what should be done for them, NSAIDs? Oh or maybe they can meditate the pain away.

when i go tinto my car accident and messed my knee up, i had to see an orthopedist, he gave me hydrocodone for about 3 months until the swelling went away, he mentioned that "hydrocodone in particular" is not a painkiller that is generally used for chronic pain, that its more for temporary things. my dad has been getting pain meds from his family doctor for years. he even was on hydrocodone for 10years, with the benefit of the doubt of it not being for chronic pain, eventually, his family doctor would only give him morphine and fentanyl, and if he wanted higher fent and morph doses he would have to see a pain management specialist..i dont think all this shit is in the "doctors rule book" lol, i think its all each doctors opinion and moral code and ethics they follow.