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I was hit by a car while crossing the street,im injured, in pain, constant pain,help

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I echo others' thoughts. Get a new doc, you really shouldn't have to feel neglected by him. Do you not take any NSAID's at all? I found that Naproxen/Diclofenac worked better than any opium for my slipped disc. Also pregabalin was brilliant for nerve pain, very effective. You really do have a lot of options and if he's not going to open the doors to them, then you have to do it. As somebody else has said, go see a pain management specialist.

I can totally relate to you not being able to sleep. Apart from kidney stones, my slipped disc is the only thing that brought me to tears and I could never sleep. Fortunately I was prescribed Zopiclone which was a massive help for me personally. If I was told to take Benadryl... well. I don't even know what thoughts would be crossing my mind!

Be proactive and find another professional who is prepared to look after you.

Best of luck to you, I truly hope you can get the help you need ASAP !
 
Doctors interpret X-rays and they make mistakes. You need a second opinion, perhaps a third or more.

This guy sounds like his bias is clouding his judgment and causing him to misdiagnose you. This is inforgivable and unlikely to change, you have every right to choose another doctor. Make it so, do some research online and try to find someone with better social skills via ratings.

Good luck, don't do this to yourself any longer. You are why these medications exist.
 
@dawglaw is onto it. Also, as soon as you feel up to it, you should try to file an official complaint with your state's physicians board regarding how you were treated by your doctor. They way he treated you is borderline abusive. Flat out refusing to write you for an MRI even though he himself said it was most likely soft tissue damage? WTF?!?

I don't know how your particular insurance works, but do you have at least one good doctor - general practitioner, pdoc, therapist even - who can recommend a pain management doc that will do his job and manage your pain? If so, that's your best option. Otherwise, I'm afraid you'll be making a lot of appointments to audition pain management docs. I broke my back several years ago and was referred to pain management by my GP. She knows her shit because both pain mgmt and the spinal surgeon she recommended were awesome.

Also, there are non-opiate options now for treating pain like Lyrica and Cymbalta. As far as treating chronic, possibly life-long pain goes, my pain mgmt doc told me that methadone is the drug of choice nowadays because it's so long-acting.

And if you do end up on oxy + roxy or any other opiate in pain mgmt, you can expect to get piss-tested regularly. Some practices won't give you refills unless you pass one every month. They're serious enough to pay the extra $$$ for the mass spec test indicating not only exactly what's there but estimated concentrations as well. The stringency of the testing policy varies from practice to practice and state to state but it's not uncommon for me to hear about folks in my area getting booted from pain mgmt practices for "failing" one or more drug screens.

I really hope you find some caring providers and some relief from your suffering :(

Finally, please PM me your former doctor's name and the city he lives in. I'm going to kick his ass.
 
I wish you all the best and hope you find relief from your pain! I was hit by a drunk driver on the pavement in 2003, and it fucking HURTS.
Keep on pursuing untill you get the help you really need.
 
So my doctor prescribed me physical rehab, and i havent gone yet cuz im hurting to much, i try my best to walk at home but i never felt to much pain in my leg, knees,lower back. And every night my fiance massages my neck. My moms bf found a pain managment doctor through his friends who would likely help me, but its $300. I have a huge feeling since its been 8 months from my accident my doctor( the orthopedic one) will start lowering my percocet, 1. Bcs its been months 2. I havent gone to physical rehab yet because, i waited to get a second opinion 3. He will see i got'a second opinion and cut me off. And i can tell u now that 10mg of perocet every 6 hours doesnt cut it,and this diclofenac 75mg doesnt help. And they want me to walk. Im lookn for doctors like u ppl keep telling me too, But** this is va, and the drs, emergency room, other patients, and nurses have told me. (These dr.s dont deal with chronic pain, u need to get a pain managment dr.) Vigrinis is a commonwealth state. Im a 23 year old male with long hair and tattoos ,so i already get prejudice crap from ppl. I never took painkillers before this incident, i didnt believe in them! Hell i broke my wrists and sold my oxycodone, but since this accident i changed my outlook and painkillers.

Please good advice, no cynical people.
 
I'm from Virginia as well and there are doctors and clinics out there. If you really feel your appearance is hindering your ability to seek and receive proper medical care, why not change it? I know you shouldn't HAVE to, but if you feel your appearance means you're not being taken seriously you need to change something. Something as simple as putting your hair up in a neat way and wearing nice clothes will go a long way. I know it feels impossible to try and get up and showered and make yourself look nice when you're in pain, but it can really help you.

You're going to have to do everything the doctors suggest before they want to medicate you with opioid pain killers. Go to rehab/physical therapy, even if you can't do everything they ask of you just showing up can help. I did PT for my back and a lot of it was just electric stimulation of the muscles combined with heat and massage. I've also done accupunture and injections.

If you're buying pills off the street to supplement your current medicine regime couldn't you use whatever money you're spending on that towards the $300? Unforunately a lot of pain clinics do cost money. But if you're on medicaide it should cover a lot of the costs.

Another option is methadone. You can get into a clinic as a pain patient rather than an addict.

It sounds like you're very unhappy with the care you're getting but at the same time too scared to really seek other opinions because you don't want to lose what little medicine you're getting. You are allowed to seek second opinions without it effecting what your doctor can give you. As long as you're not getting multiple pain scripts from multiple doctors at the same time it's not an issue.

I'm sorry you have to go through this, I know it's very hard to get taken seriously sometimes, especiall for things like pain that doctoes can't "see". There are compassionate and able doctors out there so just keep looking and don't get discouraged.
 
sameoldfears has great advice that would benefit you. There are good doctors in pain management that can help but there are obstacles. One is your age, at 23 of course they are hesitant to prescribe narcotics. I went to a few clinics here in Florida over the years, some do not even accept medication management patients under age 25.

I was 40 when I started in pain management. I had great insurance, but many of these doctors operate cash only. It's a tradeoff, if you need a certain medication I found many "traditional" doctors in my plan wouldn't help me. I found a terrific pain management doctor who offered whirlpool therapy for my back and acupuncture. It was worth the money I paid because it was useful and therapeutic. Plus I got the meds I needed.

Just dress nice when you go and be willing to follow through with your physical therapy. You will need all these records when you see the new doctor: hospital reports, MRI's and medical records from whatever doctors are treating you now. It's not too late to see a personal injury attorney either but don't wait too long. Hope you can get some relief!
 
You want good advice?

You need a personal injury attorney. Someone hurt you and now you are suffering. You are paying out of pocket just so you can try to feel better. This is not fair. Go get a consultation.

Lawyers have networks with all kinds of medical specialists. One of the purposes of the tort system is to help people get the proper medical care after they have been injured by someone else. You go in for a consultation, tell the attorney what happened and he will put you in contact with a doctor that will get the results you want. Additionally, many doctors and specialists treat on a lien basis, meaning you never pay a dime. Your medical bills will be paid for out of any recovery at court and if you lose, you owe nothing. In my state, non economic damages are recoverable. That means that your pain is a legally recognized harm that you are owed compensation for.

Don't you want your medical bills taken care of? Getting hit by a car can leave you with serious medical conditions that may stick with you for the rest of your life. You should not be paying out of pocket for your expenses. Suing someone is a big step to take, however, it is one of the only ways to make sure you get the treatment you need after someone else injures you.
 
I hit by a car while crossing the road in october of 2012. The car was going 45mph and hit me, i should of died. Its now april 2013, he shattered my leg, my tibula and fibula. Ive had a fixator,casts, and now a removable air cast. I had a huge gash on my leg. So ive been seeing an orthopedic surgeon. My first one had me on diluadid, it helped a lil, but a month later i switched to a new one who accepted my isurance, and he only has me on percocet 5 mg , 2 tablets every 6 hours. Since ive been healing, ive noticed my back is constanly hurting,my shoulders, neck, and knee hurt. It keeps me up at night, i cry sometimes bcs it hurts so bad. My doctor doesnt want to hear it, he says im gonna be in pain, and if i cant sleep just take bendaryl.. so finally 2 weeks ago he did xrays, and found nothing. But he said its probably soft tissue damage, i asked for an mri, but he doesnt want to hear it. This percocet doesnt help me alot, been telling him but he quickly blows me off and treats me rudely. I know its bcs i have long hair, and tattoos, but i didnt choose to be hit by a car. I dont drink. I dont do any illegal drugs, but i in constant pain. Im going to walk now for ther rest of my life with a limp,my leg is a couple inches shorter.i now got physical rehab to look forward to, it hurts.im a tough guy but this hurts.

What can i do? I need sleep, i need my shoulder to tattoo. Ive been thinking about pain management, and if im in this degree of pain for the rest of my life im scared when he takes me off my percocets. I see ppl with so much less and they get treated better and more medicines, i almost die, hit by a car and im treated like a drug addict.

My fiance doesnt get it, she had a broken leg before and compares it to herself .she just broke hers as a kid. Mine was shattered, and i was hit by a freaking car!

Will a pain managment doctor even care im numb in my arm, im in alot of pain when there are no fractures in my spine? My shoulder and muscles hurting. Get a second opinion? Please help this is so depressing and i just want a normal life agian, im scared to get a second opinion then my dr gets mad and takes away my meds.:(

Switching from dilaudid to percocets is as good as stopping the pain management all together. Percocet is so much weaker then dilaudid that you started to feel the real pain that you couldn't feel on Dilaudid. Course of action I can think of is:

1) switch doctor
2) disrupt acetaminophen intake. Acetaminophen is for mild headaches, not shattered limbs. Your doctor is an idiot for giving you that.

I remember my dad had a back injury and after getting Dilaudid in the hospital he could walk fine and didn't feel pain but when he was sent home with percocets, 4 hours after he was yelling in pain saying he couldn't roll from one side to the other. Those things are useless vs. breakthrough pain.
 
Like, an immediate solution to relieve your pain within 30min is to concentrate 20-30mg of active ingredient through CWE but this means you will run out of pills way sooner and it also means you're not taking them as prescribed.
 
I'm from Virginia as well and there are doctors and clinics out there. If you really feel your appearance is hindering your ability to seek and receive proper medical care, why not change it? I know you shouldn't HAVE to, but if you feel your appearance means you're not being taken seriously you need to change something. Something as simple as putting your hair up in a neat way and wearing nice clothes will go a long way. I know it feels impossible to try and get up and showered and make yourself look nice when you're in pain, but it can really help you.

You're going to have to do everything the doctors suggest before they want to medicate you with opioid pain killers. Go to rehab/physical therapy, even if you can't do everything they ask of you just showing up can help. I did PT for my back and a lot of it was just electric stimulation of the muscles combined with heat and massage. I've also done accupunture and injections.

If you're buying pills off the street to supplement your current medicine regime couldn't you use whatever money you're spending on that towards the $300? Unforunately a lot of pain clinics do cost money. But if you're on medicaide it should cover a lot of the costs.

Another option is methadone. You can get into a clinic as a pain patient rather than an addict.

It sounds like you're very unhappy with the care you're getting but at the same time too scared to really seek other opinions because you don't want to lose what little medicine you're getting. You are allowed to seek second opinions without it effecting what your doctor can give you. As long as you're not getting multiple pain scripts from multiple doctors at the same time it's not an issue.

I'm sorry you have to go through this, I know it's very hard to get taken seriously sometimes, especiall for things like pain that doctoes can't "see". There are compassionate and able doctors out there so just keep looking and don't get discouraged.

This is great advice. I too have a bit of an alternative look to me and every time I have to see someone I KNOW will judge me based on my appearance in a position to prevent me from attaining something I need for basic survival I dress the part.

Sometimes I where my old hospital scrubs from a former job to look professional, shave my beard, cover my tattoos, hell, where a suit and tie if you have to. Unfortunately in this world people will judge you based on your appearance and how you present yourself. It's my philosophy that anyone in a position to wear a masque to get what he needs should do so.

I'm sorry to hear about your pain.
 
You had a traumatic accident. You are in pain.

You sound like you probably need pain management. It's hard to know from the information given, but this is your question and your perspective, so you get the benefit of the doubt.

You also have to be very careful about the lure of narcotics. Even if you end up getting nothing more than the 5mg percocets, you can't let that hold you back. You still have to work like a beast and get as strong as you can, and as strong mentally as you can.

You will very likely be put on a pain management regimen when you encounter a more liberal doctor. Once you do, you have to be careful, as you will become addicted and dependent to the narcotic. It should help with your rehab. You aren't ever going to be the same as before your accident, and you may never be 100% pain free, but you will want to think of an end-game with the pain management. The goal is to get strong and active again, not become permanently dependent on narcotics.

Cleaning up is a good idea, and the doctor needs to know what hurts, the high pain level that you have while it hurts, and what you can't do(what it disrupts in your life (sleep, day to day activities, your tattoo profession, etc...). Too much drama in the explanation isn't a good thing, although I know the accident was traumatic.
good luck
 
Okay so the dr my moms bf found has horrendous reviews. I see an ad for "national spine and pain centers" are they a good place? They need a referral from my dr though it says? Do i need a referral to see any pain dr? Okay and heres the second issue. Im gonna run a couple days short on my meds, and i cant find anything on the street! Im scared! Ive been calling pain doctors all day, and the good ones have waiting lists? I need advice asap. Im scared. Do i just go to the e.r. and lie? Tell my doctor? But then he'll think im a drug addict. Im scared. I really dont see a point in living if im going to be in this pain, this is no way to live. Im not suicidal, not! I just dont have any enjoyment in life.
 
What makes you think the doctor your mom's bf found won't help you? Who cares about his "horrendous reviews" if he's able to prescribe the medications you need? I mean, isn't that your goal here: getting medication? Stop buying meds from the street and use that money to see a pain management doctor.

You do not need a referral since you're paying cash but you do need your medical records. Don't count on Medicaid paying, I think that's what's holding you back. Be prepared to pay the $300 or whatever and just fucking go man. The ER lying is a stupid idea, you've already been there how many times and YES they will label you a drug seeker.
 
I agree wholeheartedly with the last 5 or 6 posts (mostly)...it sucks but you will definetly have to clean up your appearance. I know that's not fair but now I not the time to take a stand on that. It will affect people's opinion of you.

You WILL have to go to physical therapy before most docs are going to do more as far as narcotics go. They aren't going to force you to do anything unrealistic but you will have to put forth effort or they will report back to doc that you are not trying. It will be hard but as I said before, and many others here stated, you will have to jump through a lot of hoops, ridiculous to you or not, in order to be treated with meds. They will want you to try a ton of other stuff before going that route, especially because of your young age. Fair or not, just the way it is going to be.

You can try other docs for sure but as a nurse for 20 years, a CPP for many years and an advocate for medication management for CPPs, I can tell you that for the most part, the days of finding a doc that will be quick and easy to write for narcs is over. Most docs are NOT going to risk jeopardizing their license for any patient. The DEA isn't only making life hard for us but for the doctors as well. They arfe watching exactly how much and how often doctors are writing for every narcotic in most states now. When the DEA comes to check why he is writing a script for opiates/opioids for you, he has to have proof that you have an injury. If you do not have injury that they can document as showing up on a MRI or other tests they are screwed. If they do not show that they have put you through the ringer with every other option besides narcotics BEFORE they put you on them, they are screwed. Most doctors don't really mind giving their patients narcotics, they just aren't going to be the one to write that prescription that jeopardizes their whole livelihood.

I have also found that even if you are paying cash, most pain mgmnt docs want you to not only have a primary doctor on record that knows you but also a referral. This is also to save their ass so it doesn't appear like they are possibly operating like the pill mills in my home state of FL were a couple of years ago and just taking anyone in off the street who just "thinks" they need pain mgmnt.

And yes, it is probably getting close to the point where the doc is going to stop giving you percocets if you are not following through with the other things he wants you to do. I know you want pain meds and think that is the end all answer but trust me, if you are in that much pain with nothing showing up on diagnostic tests, it will be a long time before you will be able to work up to the amount of meds that will truly help. No doctor (unless you happen, just happen to find a quack that still exists out there) is going to put someone your age on something like dilaudid long term (or even short term) when they can't prove a substantial amount of injury.

You stated in the OP that you were lucky to be alive (and we are glad you are for sure). Were you just saying that because of the fact that you were hit by a car moving that fast? Or did you suffer some traumatic injuries initially? I mean, what injuries have you been diagnosed with?
 
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I agree with those who said you might need to change your appearance a bit, although you probably wont be able to make a 2nd impression on this particular doctor. A long haired, excessively tattooed guy looks much riskier to a doctor than some average looking clean cut guy off the street. If you pinpointed one of each randomly off the streets, which would seem be more likely to abuse drugs to you? The long hair tattoed guy, or the average clean cut guy?

You can always regrow your hair. Cover your tattoos with long sleeves, and we can just hope you didnt go crazy with the neck, face, and hand tats.
 
I didn't read all the replies but my advice is to get a new doctor. Tell your doctor why you want a second doctor and ask him to recommend someone who's not bigoted against long haired people with tattoos. Also, I'd recommend a pain management service as well but you may want a new doctor until you get into one. Ask your current doctor to recommend one. Seriously, ask your current doctor. Make sure that he knows WHY it is you see him as a failure and why he's IS failing in his duty as a physician.
 
Like i said before, my leg was broken in 7 places, huge gash on side of my leg.
But as for other injuries i never got an mri. He wont do it! He said its prob soft tissue damage and just to deal with it.
 
I got xrays but he says everything looks fine! I doubt this quack even really tried, and the stupid xray cunt was barely qualified to take them. She kept askin what button to push to take the xray. And they had to redo them. Just cuz im 23 doesnt make it easier for me to take pain. I waited to go to physical therapy cuz i dont drive,im in too much pain and can barely put weight on my foot, and my body feels all sorts of fucked up from this accident. But since im 23 no one wants to take the time to see the problem. I was on diladid the first couplw of weeks but i hated the high feeling. Im not looking to be on that.i just want relief. So i need a new orthopedic surgeon? Bcs i dont got a primary doctor.,
 
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