Reflex Sympathetic Dystrophy (RSD and CRPS) Reflex Sympathetic Dystrophy (Complex Regional Pain Syndromes Type I) and Causalgia (Complex Regional Pain Syndromes Type II)(RSD and CRPS)

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Old 06-23-2009, 12:42 AM #1
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Heart update on med issue: Tramadol

I got the Tramadol medication issue resolved, and received the meds today. Of course, the PM doc's recept. played dumb, and apologized..and the nurse that was suppose to call me back, was out of the office today because of a funeral.

My atty. and I spoke about this situation and he advised me to do certain steps..which I did, and the mess was cleared up. The entire situation was unnecessary and caused me added stress to my already stress filled days and nights, because of the RSD.

I see the PM doc on 7/7/09. I am to leave for AZ on 7/9/09 by plane, alone. The time I am able to be in AZ is dictated by the amt. of OpanaER tablets I receive before departure;specifically, WC ins. comp. will only allow 68 pills at a time, and a new script is required(one that is sent via snail mail or handed to pharmacy in person). Laws vary state to state, so my doc has no clout in AZ, as he is licensed in OK! If it isn't one thing, it is another...all too exhausting to think about now.

Thank you for your comments and hearing me out.

,
Dew
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WC Injury 03/24/07;Two Right Knee Surgeries on 5/22/07 and 01/16/08. Surgeons and Physical Therapists ignored my concerns of burning pain, swelling, and no improvement and getting worse. Diagnosed RSD/CRPS I/Sympathetically Mediated Pain Syndrome/Chronic Pain on 06/2008 by family doc;on 08/2008 and 12/2008 diagnosis confirmed by two WC PM Doctors: Both legs;hips; hands; and spine effected by this culprit. SSDI granted 01/2009.
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Old 06-23-2009, 06:10 AM #2
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Luckily you were able to get it sorted out, but why does it have to be so complicated to begin with?
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Work related (car) accident September 21, 1995, consequences:
- chondromalacia patellae both knees
- RSD both legs (late diagnosis, almost 3 years into RSD) & spread to arms/hands as of 2008
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Old 06-23-2009, 06:53 AM #3
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I am glad it got cleared up but I know how uneeded stress and aggrevation can be. I am going through something similar but different I guess but the uneeded aggrevation is the same. Try to take a deep breath and hopefully now you can relax a little more. Feel better
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Old 06-23-2009, 07:14 AM #4
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Tongue Logic and Math???

Here is how I have seen a lot of my prescriptions written.

"Take 1-2 every 4-6 hours as needed for pain." Now let's do the math:

Two each times every six hours = 8 per day.

Eight per day times 31 days in most months = 248.
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Here is how the nurse figured it:

"(I guess that will probably be about three to six per day)"

Three times an average of 30 days in a month = 90.

"(If they he/she takes two instead of one, it might be six instead of three.)

Six times an average of 30 days in a month = 180.

Result: The prescription is written for 180 pills, when you might, by following the directions, use as many as 248. You are 68 pills short. That could be ten days or more worth!

Please don’t take this the wrong way. This is not meant to bad-mouth all clinic nurses and medical assistants. Many are wonderful. I am only addressing the problem mentioned by DEW.

Mike
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Old 06-23-2009, 07:24 AM #5
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Just a thought, my dr here in Va has written scripts for the next 3 months for me on the Opana ER. Each script is for one month, and he wrote in on the fill date, do not fill before 7/11. That way, I don't have to keep going back to him every month, yet I can't fill it before the fill date. Would he be willing to do that for you? I hope he can, that way you can stay with your sister as long as you need to. Let me know how you are doing.

Miss you
Mary
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Old 06-23-2009, 08:20 AM #6
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Heart

Again, thank you for all your replies to my issue

I will see what can be done as far as scripts being written in the future with dates on them for the OpanaER;however, my doc seems to be ultra rigid.

Tramadol, a non-narcotic med..and the trouble I had getting script refilled. This incident would not have happened if the correct amt. was scripted in the first place.
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A Positive Attitude Will Assist Me Toward An Active Life, Once Again
.

WC Injury 03/24/07;Two Right Knee Surgeries on 5/22/07 and 01/16/08. Surgeons and Physical Therapists ignored my concerns of burning pain, swelling, and no improvement and getting worse. Diagnosed RSD/CRPS I/Sympathetically Mediated Pain Syndrome/Chronic Pain on 06/2008 by family doc;on 08/2008 and 12/2008 diagnosis confirmed by two WC PM Doctors: Both legs;hips; hands; and spine effected by this culprit. SSDI granted 01/2009.
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Old 06-23-2009, 09:31 AM #7
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Quote:
Originally Posted by Dew58 View Post
Again, thank you for all your replies to my issue

I will see what can be done as far as scripts being written in the future with dates on them for the OpanaER;however, my doc seems to be ultra rigid.

Tramadol, a non-narcotic med..and the trouble I had getting script refilled. This incident would not have happened if the correct amt. was scripted in the first place.

DEW,
You can look at this in reverse of what Mary said. (I've had it done that way too)!

But, say your doctor is going on vacation.
What mine does is this: (No matter who is going away, or whatever).

He writes my script for say Methadone.
It's dated, the day he see's me, but is noted "Do not fill before" usually a month later. And, all is good in the world again.

Some folks, really have a way of making life difficult, but to think that you'd be limited to staying with your Sis for only as long a script allows, is craziness! Your Doctors Craziness!

Call them, talk it out, explain your situation, and they SHOULD work something out for you!

Pete
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