I need some advice. I have never used my pain meds illegaly- I have been taking morphine derivitive meds for over 10 years. I have finally gotten in to see a pain management guy and things are looking up a bit (injections etc) but - recently my GP terminated my care and I have not been able to locate ANY doctors willing to take on a new patient with existing opiate medications. Also - detox centers here in MI are not able to accept a person that is not abusing pain medication illegaly. I am 40 Diabetic and am considered morbidly obeese but have normal blood pressure and eat a more or less healthy diet with an eye towards weight loss.
All that being said, It is looking like I am going to have to quit these drugs cold turkey. Our Financial situation does not allow me to be able to join a program to ween me due to the travel distance and the frequency that I would need to be seen - plus the doctors do not accept the insurance I have.
what should I expect once I am out of my medication.
I have the following meds left - any advice you can offer on how to ween myself with what I have would be gratefully appreciated - I feel betrayed and lost.
Approximately 60 - Morphine Sulfate 60MG ER Tablets (Generic of MS Contin)
Usage 1 tablet every 8 hours
Approximately 60 - Morphine Sulfate 15MG CR Tablets (Generic of MS Contin)
Usage 1 tablet every 8 hours
Approximately 60 - Morphine Sulfate 15MG IMM REL Tablets
Usage 1or 2 tablets by mouth four times Daily as needed for pain
Thank you for your time and help.
Added 24 Jul 2010:
To be honest and I owe honesty here - I believie he was i his rights to terminate me - by the letter of the law.
I have learned a very hard lesson here. Setting aside my reasons and state of mind - by the book he had cause to dismiss.
Here is the story wishbone:
I forgot to set up an appointment with my PCP (Ill use that instead of GP) My wife was going on a trip to New York to see our son graduate and there was alot of stress flying around because we do not have the money to do it but I was not going to let that keep her from going - She is Bi-Polar and suffers from Panic disrorder and Post tramtic stress from event in her deep past. Don't believie what you read about or see in movie when a woman can step thru unscathed after a bit of consuling - It is not reality .
Anyway, so I was reallty focused on her and my daughters who did not want to go because of my wifes Mother who is what I classify as a Poison person. (as an aside - we have cut off all contact with said woman since that visit because she attacked (verbally) and abused my 10 year old daughter and my 12 year old - then went after them again for "Telling on Her" by calling me. My wife handled the situation the best anyone could and she stayed with a life long friend. After all was said and done I had a really hurting pair of daughters that I had no way to get to. I have been unable to work outside the home for over ten years and I have rarely if ever before now been away from the girls.
My head was not on me - it was on them.
When they get back I noticed my med bottle and the date on it - the last time I had it filled was 05/25/10.... it was now 07/06/10 or so- so I bugged a bit I was a week late and getting desperately low on the pain meds
I called to get an appointment with my PCP and they had nothing availible till the 13th of the month. I was fine at that point took the appointment and asked to speak to the nurse line because I was going to run out of medication days before appointment - in fact I really should have already been out. (I had had an injection in my spine and so I ended up taking less than I should for the week or two the injection worked... Not on purpose but just but accident). I talked to the nurse line and let her know what was up she said she would talk with the doctor and call me back later in the day.
When I spoke with her again she let me know that the Doctor was not going to write the scripts for me until he saw me on the 13th. He had a year or so ago done that for me when there had been a scheduling problem - I was stunned and really worried. I asked her if he understood the problem that I would be out of my medicine completely for most of a week. She said yes and so the conversation went a bit as I tried to understand WHY. I began to get Very frightened I had been told that going off the meds was life threatening. I felt increasingly like the doctor did not care. I asked if there was anyway I could come in and be seen by him at the end of the day or between other appointments- just a very quick apointment- I mean he sees me every month and it takes all of 5 minutes.
She said she would call back.
She did and the doctor again refused. I asked her what I should do. I was close to tears at this point. She gave me no reply. I asked her what I should expect when the meds are gone - desperately seeking help- some compassion anything other than the stone wall I had been given- Not trying to change minds at this point just trying to figure out how not to die. I mentioned that I was told when I first went on the meds that going to the ER would be fruitless as I would be tagged as med seeking and turned away- (Is this a reality- I do not know- but that was the info I recieved from my original med provider in New york all those years ago.)
She said that I was probably right. I asked What do I do ... I was now crying- All the responcibility of my life hit me in those momments- I was thinking how can I care for my girls and my wife if I am dead. Honestly I was to that level of fear and frustration- I am by and large a dramatic person I guess I live in my imagination quite abit and am an artist, so perhaps my reaction was over blown. I then, with a broken voice having reached that point when your voice is over come with emotion said "J.C. (not using the Lords name in vain here again- I never do that -Ever and I am not sure why I did there) - I said "J.C. what do I do? What's going to happen to me." she replied coldly "Oh, you'll probably suffer some withdrawl symptoms" I begged her to tell me what those were, and she met me with cold inderference and strangely did not end the call... I was on the call with her for ten minutes by now and she was giving me no help or comfort- nothing - I almost feel like she was drawing me out - I know it sounds c razy - Again with the big imagination on my side. But why else keep me on the phone?
And here is why I was terminated. I said and I quote "What should I do- Should I seek the meds on the street " I was being sarcastistic- attempting to show her the corner I was painted into. She said "That was a stupid thing to say " with a bit of a laugh in her voice. And I said "No its not - what amI suppose to do."
Thats where the conversation ended as I realized there was no help to be had. My doctor did not care about me and was not really there to help.
Now I am sure that he has his perspective - he is a young doctor- looking to be just out and into the world as a doctor- so maybe he is just not experienced enough to have the compassion he should.
I recieved a letter stating that by Law MI doctors may terminate a patient and he has done so.
I was given my appointment on the 13th and 30day script of the meds.
I understand why I was terminated- I just dont understand why it had to go that route... the nurse gave me no direction at all- the doctor told me nothing through her. I was left on my own-
I could ramble alot about how I just dont understand why he could not open his schedule a bit to see me - He even said to me - that what would happen if he did that all the time - stacking patients at the end of the day. I stopped talking to him at that point because I could see that he held no real concern for his patients. there was alot he could have done and chose not too.
I was never a problem patient never missed appointments always on time.
It was a real reality slap to the face that my PRimary CAre Physician did not Care