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Misc The Pain Management Mega Thread version 3.0

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phenethylo J said:
I am really considering talking to somebody about my depression and anxiety because it just keeps on getting worse and worse and I don't want to do something stupid. I only talked to a psychologist once when my rheumatologistmade me get an evaluation to make sure I wasn't a drug addict when I failed a drug test for weed. Things went well there and I am just wondering how shit will work with confidenuality and other docs. I would like mention I still use weed since I feel it is important for him to get the whole picture but am scared some how my pain doc would find out. While I still go to that doc that made me go to him she does not give me opiates anymore because of the new laws in Florida requiring me to go to a pain clinic. He was very easy to talk to and didn't really get on my ass about me smoking weed much. Is he aloud to give that information to my pain doctor. If my doctor find and I get cut off from my opiates which I need to function I will most likely kill my self. I finally found a doctor who is realistic with my pain medication and doesn't underperscribe me; if I lose this doctor my life is over. My aunt asked her friend who is a psychologist and she said they can't but do policies vary from state to state? I would think that it would violate confidentiality but I get paranoid in these types of situations. Does anyone else haveexperience is with this situation.
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It can be so dependent on the doctor. If your pain doctor asks for your signed release of information from the place you had the "failed" urine test for MJ then the pain doc is likely going to see it. Doctors cannot simply discuss your case between themselves. That is against Hippa/Phi, I won't go into the whole PHI bit but it is your right to allow only who you want to see your medical records.

Of course, if you refuse to comply when a doctor asks you to provide previous records or if you do pose a danger to yourself or others then they can bypass the PHI (Protected Health Information)and simply refuse to treat you but they better be damn sure they are doing it for a good reason or their ass is on the line for breaking patient confidentiality. Most docs do not want to go there because breaking patient confidentiality/discrimination is a big no no for them. You have to sign a release of information before one doctor can view your records from another doctor. That is what I was taught for 14 years in hospital and lab settings. It might be different in your state but it is becoming a pretty universal practice because too many people had far to much access to people's private health records.

In some cases, such as mine, my pain doc also prescribes MMJ in certain cases so he/she could give a shit if you tested positive for cannabanoids somewhere else. It is getting more and more common that MJ is being prescribed for pain, especially nerve or arthritic pain.

Every state is different and I am in pretty progressive state that understands the medicinal qualities of MJ. I could get a MM card but until it isn't looked down upon during per-employment screens I have to stay THC free. I am trying to subsidize my disability benefits which do not provide me enough money to live a meaningful life.
 
lol...this reminds me of my situation...

I was in an out-patient program for depression, anxiety, etc., and I told the doctor that I had smoked MJ the week before I started the program. He said he was fine with this, but that he would be doing drug screens. He sends me for one at the end of the first week and pissed dirty for THC as expected. He sends me again the third week, at the end of which, I went back inpatient for worsening depression, anxiety, anorexia, and suicidal ideation. I get back out of the institute wanting to go back to the outpatient program, but when I got there, they said that the doctor felt that their program wasn't for me because I failed the drug screen for THC (~21 days after smoking), and said that a chemical dependency program would be better for me.

Who the fuck goes to chemical dependency counseling for MJ in the first place, and where did this quack get his M.D. for him to not realize it can take 30+days for someone to deplete THC below the point of detection, especially when this individual has low testosterone? People can be fucking stupid...
 
baaaaad day, so about noon i grab the cane and my fiance and start walking towards ( oh yeah forgot to mention i woke up with terrible back and nerve pain...anyways...) the walk in clinic, they wont see me, so we walk to my doctor's office, doctor's booked up til friday, so i set up an appointment and they tell me to go to the ER. so after waiting for two hours (pretty speedy for this place) a PA comes in and throws tramadol at me and offers me some toradol and morphine (no clue what dose yet) IM so i can make it walking to the pharm, so now we're waiting for the lovely staff to (hopefully) send me to happy land. at my doctor's appointment i think i am going to tell her how much the morphine helped, play dumb, and try to get at LEAST 15mg MS. wish me luck on getting a good dose here and at my doc appointment.
 
i think i need to just take the pain for like a year cause my tolerance is redonkulus i take 450mg of oxycodone IV to feel better and admittedly a little high but the only way i can see a dose a doctor would prescribe working is if i take a year long break form all opioid drugs
 
morphine got switched to hydromorph, still IM but only 1 mg :( feeling ok though i guess, still gotta walk to the fucking pharmacy though.
 
I am so angry right now. My mother has been seeing the same doctor for 35 years. She has had colon cancer, a ruptured bowel, then her ureter got swollen shut do to abdominal abscesses. there's much more but it's beside the point right now. Whenever she has outpatient procedures (like getting the stent in her ureter changed), her surgeon gives her an rx for 4-8mg Hydromorphone. Normally A procedure like this would only call for hydrocodone, but due to my mother's long hospital stays, severe pain, and heavy heavy use of IV narcotics when inpatient, She has developed a tolerance to hydrocodone.
It's been a little less than a year since she has had to take any narcotics. She began having severe hip pain 2 days ago and saw her doctor today.
My mother is not whiny, nor has she ever had any drug issues. Her doctor gave her hydrocodone... We were hoping that given the length of time she has gone without pain medicine that it would be adequate.
It isn't. She has tried taking two, even. I called her doctor to report This and that she needed something stronger. Told them that hydromorphone had worked well in the past.
She received a phone call from the nurse saying that her doctor "did not want to prescribe hydromorphone", And referred her to an osteoarthritis dr. my mother is not good about standing up for herself, and I find it kind of funny that they would communicate with me and suddenly call her to give her this news.
some doctors are unbelievable. Her pain is valid and severe and she needs relief. after all these years I cannot believe that she is going to be left in this excruciating pain.
I'm sorry, I'm just venting. I tried to get her to go to the emergency room but naturally she has a severe phobia of hospitals. she won't admit that though. She just says she will deal with it and becomes really angry and defensive if I bring up the hospital.
GRRR!
Thanks to anyone to read this rambling lol
 
macd610 said:
I am so angry right now. My mother has been seeing the same doctor for 35 years. She has had colon cancer, a ruptured bowel, then her ureter got swollen shut do to abdominal abscesses. there's much more but it's beside the point right now. Whenever she has outpatient procedures (like getting the stent in her ureter changed), her surgeon gives her an rx for 4-8mg Hydromorphone. Normally A procedure like this would only call for hydrocodone, but due to my mother's long hospital stays, severe pain, and heavy heavy use of IV narcotics when inpatient, She has developed a tolerance to hydrocodone.
It's been a little less than a year since she has had to take any narcotics. She began having severe hip pain 2 days ago and saw her doctor today.
My mother is not whiny, nor has she ever had any drug issues. Her doctor gave her hydrocodone... We were hoping that given the length of time she has gone without pain medicine that it would be adequate.
It isn't. She has tried taking two, even. I called her doctor to report This and that she needed something stronger. Told them that hydromorphone had worked well in the past.
She received a phone call from the nurse saying that her doctor "did not want to prescribe hydromorphone", And referred her to an osteoarthritis dr. my mother is not good about standing up for herself, and I find it kind of funny that they would communicate with me and suddenly call her to give her this news.
some doctors are unbelievable. Her pain is valid and severe and she needs relief. after all these years I cannot believe that she is going to be left in this excruciating pain.
I'm sorry, I'm just venting. I tried to get her to go to the emergency room but naturally she has a severe phobia of hospitals. she won't admit that though. She just says she will deal with it and becomes really angry and defensive if I bring up the hospital.
GRRR!
Thanks to anyone to read this rambling lol
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Your mother shouldnt have any problem trading in the vicodin, or getting prescribed oxymorphone if she calls in for (herself) she needs to rethink having problems "standing up for herself" if she is still in pain while taking vicodin
 
I don't think it should be an issue either, but for whatever reason her dr doesn't want to prescribe it. She was so sick and was dependent on me to take care of her (which I didn't mind at all) for about 2 years. She had so many appointments with so many drs, and I did all of her scheduling since I was the 1 driving her. pretty much did everything for her, including this type of thing.
She has been well for a little while now, and has become much more independent. I like her to do things on her own , long as she's able. I think it helps her self esteem.
it is so easy for me to slip back into old patterns of unnecessary caretaking. I'm still very angry and disappointed with her doctor but at the same time, I have done all that I can do. I offered to bring her to the emergency room and told her to call me if she needs me. just talked to her a few minutes ago and I suggested that if she was still in this much pain tomorrow to call and setup another appointment.
I just hate seeing her go through this...she's been through enough :(
 
Mikebangsblaqchics said:
Phenethylo J, weed is a miracle drug. Don't feel like a drug addict for using it, a lot of people smoke everyday for no reason. As far as your pain I don't know what your issue is but sounds like Opiod WD in which case I would personally get on suboxone or methadone. You said you don't like benzos to help you sleep, have you tried explaining to your doctor why it doesnt help? If you talk to them they can perscribe different kinds of benzos, up the dose, or possibly give you longer lasting ones I'm no doctor. And as far as your worries for the doctor-patient confidentiality you shouldn't have anything to worry about. Doctors will not break that confidentiallity unless it may endanger your life. I dont see a reason for him to talk to a different kind of doctor about you so you shouldn't worry, doctors have a lot of patients and don't usually go to other doctors just to tell that you've been bad, unless it endangers your life which really weed doesn't. Maybe get recommendation from a doctor for medical marijuana, this is just my two-cents hope I helped
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I am from a MMJ state and have had several pain doctors and I can tell you that advising them at your first appointment about your use of pot for pain is nothing to be ashamed of. I've had doctors tell me it is fine, just keep it to a minimum....and I've had other doctors tell me to stop smoking as part of the agreement to become a patient under his or her care. Honesty, trust me, is the best policy about any substance (especially pot, even in non-MMJ states) you've used that has helped your pain is NEVER anything to feel embarrassed about.
 
in my country they dont have pain medicines except ibuprofen, paracetamol and then when they about to cut you leg and arm off, they give you a tiny bit of morphine and who knows maybe even some fentanyl. that is it. oh, i almost forgot. METHADONE.
since i cant get on any other opiate to save my life, i got on methadone, i take 120mg/daily and feel fine. been taking it since Apr 2012 and all but one of my pee checks was clean (did some fentanyl :P) so instead of going twice a week i go 3 times a week for my takeaways. staff is super nice, no loitering around the building what so ever, not mcuh parking but hten again junkies out here usually dont have cars so i can park mine just fine. methadone ftw! and benzos on top of them 5mg xanax and 100mg valium. hell yeiah!
 
^Me neither.
Good morning/afternoon/evening, everyone. Just wanted to stop in and say hi :)
How is everyone's pain today? I'm pretty well, probably at about a 3!! I'm just now starting to notice (I'm slow sometimes lol) that my pain seems to be much better than normal the day after I change my patch. No mystery here, just never really made the connection between low-pain days and the timing of my patch change.
I hope you are all doing as well as possible and in good spirits :)
 
Doomed2pain said:
Im at 9.5 today with it being cold and rainy here. I feel dreadful
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I'm so sorry, that's awful. I hate the heat and it is warm here now. LOVE the cold and rain, I do much better with that. Heat really gets to me. wouldn't it be nice if we could just magically switch places for a week or so?
 
Any temperature change affects me but winter definitely affects me the worst. Im usually bed bound all winter.
 
tyler5 said:
in my country they dont have pain medicines except ibuprofen, paracetamol and then when they about to cut you leg and arm off, they give you a tiny bit of morphine and who knows maybe even some fentanyl. that is it. oh, i almost forgot. METHADONE.
since i cant get on any other opiate to save my life, i got on methadone, i take 120mg/daily and feel fine. been taking it since Apr 2012 and all but one of my pee checks was clean (did some fentanyl :P) so instead of going twice a week i go 3 times a week for my takeaways. staff is super nice, no loitering around the building what so ever, not mcuh parking but hten again junkies out here usually dont have cars so i can park mine just fine. methadone ftw! and benzos on top of them 5mg xanax and 100mg valium. hell yeiah!
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Can I ask a moderator to get rid of this, before someone reads it that doesnt no any better ?
 
ugh godammit i thought i had the flu which would have been ok, but its withdrawals AGAIN ! I used poppyseeds (amazing painkiller!) 3 times in the last 7 days and that must be just too much for my body. Feverish and cant sleep much. Yeah just needed to rant. thanks for listening! :)
 
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