josedequeso
Greenlighter
- Joined
- Dec 15, 2016
- Messages
- 3
Hello, this is my first post by me a brand new member. I'm extremely happy to be asking this question too and hopefully receive well needed input...Ive been a heroin/opiate enthusiast/addict for roughly 7 years now. About 6 months ago I gave that life all up and did the rehab thing but also decided that a medicated assistance treatment would be my best bet for continued success after leaving inpatient treatment. I have been on a methadone program the past 6-7 months slowly building my daily dose up to a stable 100 mg per day unchanged for the past two months and feeling content on that dose. After years of hard living on and off the street as a gutter punk junkie, my health had deteriorated in numerous ways, most noticeably in my teeth. Within the past month I've been to docs and dentists to try and undue as much of the damage possible that I put my body through.
So here is the main thing, along with numerous fillings, the dentist needs a couple of abscessed teeth pulled requiring me to be sedated in order to get it done. I made the oral surgeon aware of my past as an addict and to my surprise he was far from condescending and judgmental. This attitude being a major departure from most health care professionals I've dealt with in the past. On top of the cordial and respectful attitude of him and has staff it blew my mind that he was including my opinion in discussing with me the best plan of action to go with. Btw all of this cordialness and lack of being looked down upon as the scum of society in the deep south where I reside in South Carolina...
Here now is the crux of my questions...The dentist specifically asked me what pain killer regimen I thought would be best for me considering my astronomically high tolerance for opiates. During the sedation i will receive fentanyl, ketamine and temazepam (I believe that's the benzo that will be used) which is just fine with me lol but as far as post-op pain maintenance he was inclined to go the route I had suggested which was OxyMorphone for the breakthrough pain rather than the standard vicoden they send most patients out the door with or in the case of people with history of addictive behavior such as me, absolutely nothing. First off I was shocked he actually listened to me and my dilemma rather than the normal medical protocol that would do nothing considering my massively high opiate tolerance. Secondly the fact he didn't just dismiss me as a drug seeking junkie actually reaffirmed my faith in the health care profession. (just a little bit though mind you, it'll take a few more interactions with doctors with human decency to completely change my opinion lol)
So my question is...I am asking anyone who might know what be best to tell this dentist to write on his prescription pad when I see him for the actual procedure in 3 weeks. Mind you I want the best bang for my buck, i.e. the most milligrams of oxymorphone (my personnel fav) or whatever opiate medication might be recommended by you guys to actually breakthrough the 100mg of methadone daily. All the while trying not to ask for the proverbial moon and blowing the golden opportunity that I have here and him see the classic "drug seeking behavior". What should I tell him my short term pain mgmt opiate should be and at what dose. I'm thinking 100 mgs of the Oxymorphone IR per day for however many days he wants to give me but tell me if you think that's way too much and I should cut my request down in order to get something at least rather than a big ol' nothing...and btw any suggestions are welcome on how to make the most of this golden situation I got coming my way
Please and thank yous...
So here is the main thing, along with numerous fillings, the dentist needs a couple of abscessed teeth pulled requiring me to be sedated in order to get it done. I made the oral surgeon aware of my past as an addict and to my surprise he was far from condescending and judgmental. This attitude being a major departure from most health care professionals I've dealt with in the past. On top of the cordial and respectful attitude of him and has staff it blew my mind that he was including my opinion in discussing with me the best plan of action to go with. Btw all of this cordialness and lack of being looked down upon as the scum of society in the deep south where I reside in South Carolina...
Here now is the crux of my questions...The dentist specifically asked me what pain killer regimen I thought would be best for me considering my astronomically high tolerance for opiates. During the sedation i will receive fentanyl, ketamine and temazepam (I believe that's the benzo that will be used) which is just fine with me lol but as far as post-op pain maintenance he was inclined to go the route I had suggested which was OxyMorphone for the breakthrough pain rather than the standard vicoden they send most patients out the door with or in the case of people with history of addictive behavior such as me, absolutely nothing. First off I was shocked he actually listened to me and my dilemma rather than the normal medical protocol that would do nothing considering my massively high opiate tolerance. Secondly the fact he didn't just dismiss me as a drug seeking junkie actually reaffirmed my faith in the health care profession. (just a little bit though mind you, it'll take a few more interactions with doctors with human decency to completely change my opinion lol)
So my question is...I am asking anyone who might know what be best to tell this dentist to write on his prescription pad when I see him for the actual procedure in 3 weeks. Mind you I want the best bang for my buck, i.e. the most milligrams of oxymorphone (my personnel fav) or whatever opiate medication might be recommended by you guys to actually breakthrough the 100mg of methadone daily. All the while trying not to ask for the proverbial moon and blowing the golden opportunity that I have here and him see the classic "drug seeking behavior". What should I tell him my short term pain mgmt opiate should be and at what dose. I'm thinking 100 mgs of the Oxymorphone IR per day for however many days he wants to give me but tell me if you think that's way too much and I should cut my request down in order to get something at least rather than a big ol' nothing...and btw any suggestions are welcome on how to make the most of this golden situation I got coming my way

Please and thank yous...