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Chronic Pain Whatever the cause, support for managing long term or intractable pain. |
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#21 | ||
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Junior Member
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"Thanks for this!" says: | ginnie (06-01-2012) |
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#22 | ||
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Elder
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I think about the situation we have facing pain patients too. I was also prescribed to take a med four times a day. I am not doing this. I am only taking when needed. I already take morphine, and didn't want to add another medicine that I would have to be weaned down from. I take this other one percocet, only when I have to walk, like in a mall, or to a dinner with friends etc. If I am not walking the pain isn't too bad. I will bring the container and show him where on my chart that I am taking the med. I keep track of each day, writing all of it down. since this is the first time, I am not following direct orders, I am not sure what he will do. I will find out this thursday. I am not afraid to tell him the truth, or present to him what I am doing and why. I have also decided I don't want the surgery right now for a joint replacement. I am more or less being forced to do this surgery. So I will just have to tell him what I am thinking, and go from there. I want another opinion, and from a different field of medicine.
This state has had terrible trouble with clinics that are underhanded in their dealings with pain pills. I live in florida, where this problem is so bad, the Governor will sign a bill this week to have all state employees test. So far all medicare patients are doing this too, as if it will stop the problem. This issue has made many doctors frightened to prescribe for legitimate pain patients. We also have a list of synthetic drugs, that are hitting the stores, so called designer drugs. This has got to be stopped for the sake of all those who really do need medicines to control their pain. In our state, it has gotten very out of control. I do feel sorry for our pain specialists. ginnie |
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#23 | |||
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Senior Member (**Dr Smith is named after a character from Lost in Space, not a medical doctor)
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http://www.aapsonline.org/painman/pbmaterials.htm Many prescriptions for pain medications are written, "as needed"; others are written, "up to x times a day" and various other ways. However there comes a point, or situations, when round the clock medication is medically warranted, and only those prescriptions are written that way. For patients in chronic pain, medications work better when taken as early in the pain cycle as possible, and/or when maintained at certain levels in the bloodstream. Large pain management clinics require testing to protect themselves and their other patients from political witch-hunts. It is less common with doctors who have/take the time to know their patients well. Doc
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Dr. Zachary Smith Oh, the pain... THE PAIN... Dr. Smith is NOT a medical doctor. He was a character from LOST IN SPACE. All opinions expressed are my own. For medical advice/opinion, consult your doctor. |
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#24 | ||
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Junior Member
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They call that something like not in compliance or something... oh, not taking the dose you are ordered to take. It's a catch 22. If you do and they deny it later, you go into withdrawel, if you don't so that THE AMOUNT THEY ORDER, SO you can wean yourself off, (if thEy deny it again) then you forget when to call in a refill and think you don't NEED it. You can't win. |
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"Thanks for this!" says: | ginnie (06-01-2012) |
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#25 | ||
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Elder
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A true pain specialist is your best route to go. My doctor keeps me with adequate pain control. He does not abruptly take you off them. I was allowed to stay at a reduced amount to control my pain. Hope you find that good physician. ginnie
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#26 | ||
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Junior Member
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yes because he is sending you to another dr for help.
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#27 | ||
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New Member
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![]() One question for you all out there. How long before a person can test negatively on a urine test for narcotics if they suddenly stop their morphine? Also, some emergency rooms won't even help if you go in for help with withdrawel pain. Why is it so hard for some folks to understand we don't love the medication, but it allows us to function somewhat and if that's the only choice what choice is it really? I'm sure most would do the same, they just don't realize how bad the pain is I guess. I used to be a practicing chiropractor, and ironically only about 2 yrs after state liscensure I had my cervical discs herniating and wasn't able to practice anymore. I lost a whole career and have had a very difficult time with things since. Now I'm on SSI and making a paltry $845 a month. Any ideas folks? Thanks for any suggestions, I also have fibromyalgia and strange sleep schedule/or no schedule. I tend to be awake at night and asleep in the daytime which is REALLY disabling. Even more so than the medications and chronic pain. |
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#28 | ||
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Elder
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I want to welcome you to Neruo Talk. You found a good place to get some help, and most of all compassion. I too take morphine after two spinal fusions. I know about the quality of life issues you face. Someone not in your shoes does not know what it is like to be in your position, where most of your life has been taken from you due to pain. Many of us here, struggle with pain issues. Please seek another pain specialist that can also deal with the depression, and emotional issues that come with pain. After 4 yearsm with my pain specialist, and being reduced to a wheel chair, I sought out more help. I found a pain specialist that is also a Board Certifiedn Physiatrist. Not only does she deal faily with me with my medications, she tried to treat the whole person, not just as a pain specialist/patient, but as a human being which we are. I hope you can find someone like this. I searched a long long time, and it was actually my pharmasist, who helped direct me to this physician. Find more help, and a better group of doctors to take you under their care. Physically and mentally it helps, when you know for sure your doctors are in your corner. Both my PCP and this new doc. are on the same page, and also are willing to communicate with each other. I really do wish you all the best in your situation. None of it is easy. Keep coming back here to NT, with questions, just to talk and hang out. I come here all the time for help and compassion, when I feel lost. Take care, ginnie
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#29 | |||
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Senior Member (**Dr Smith is named after a character from Lost in Space, not a medical doctor)
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Hi kstauffer, Welcome. You bring up many good points. Many doctors are changing their policies regarding longterm pain medications. The reasons are often political rather than medical. Google: politics of pain and the related searches that appear at the bottom of that page. One option is methadone. Google: methadone for chronic pain and related searches for more information. It can be very effective for treating chronic pain, but like other opioids, it is not risk-free. Research thoroughly and discuss with your doctor. You might consider seeing a pain management specialist (if you haven't/aren't already) to explore alternatives to medication. I would also recommend The Intractable Pain Patient's Handbook for Survival by Dr. Forest Tennant, which can be downloaded free. Lack of sex drive and lethargy can/may be due to hormone imbalance caused by intractable pain and/or longterm opioid use. This can have a significant effect on quality of life issues as well. Here are some further detailed articles by Dr. Tennant on this: http://www.practicalpainmanagement.c...-pain-patients http://www.practicalpainmanagement.c...tractable-pain http://www.practicalpainmanagement.c...in-update-2010 and my own experiences: http://neurotalk.psychcentral.com/thread156416.html Doc
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Dr. Zachary Smith Oh, the pain... THE PAIN... Dr. Smith is NOT a medical doctor. He was a character from LOST IN SPACE. All opinions expressed are my own. For medical advice/opinion, consult your doctor. |
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"Thanks for this!" says: | ginnie (06-01-2012) |
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#30 | |||
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Senior Member (**Dr Smith is named after a character from Lost in Space, not a medical doctor)
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Quote:
http://neurotalk.psychcentral.com/post741073-26.html Diabetics can leave out the brown sugar, and/or substitute molasses to taste. Doc
__________________
Dr. Zachary Smith Oh, the pain... THE PAIN... Dr. Smith is NOT a medical doctor. He was a character from LOST IN SPACE. All opinions expressed are my own. For medical advice/opinion, consult your doctor. |
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