Hi,
The difficulties in finding a physician willing to prescribe appropriate pain meds is something I haven't had to deal with.
However, I have had heated arguments with my MD. of 20yrs regarding the escalation of medication needed to controle the pain.
His fear was not only for my health it was for his practice!! I had told him of different things I was trying like Tens and magnets, massage and accupuncture but he became frightened because HE PERSONALLY did not show in my dosier any other course of treatment than Opiates, and he told me almost every time he wrote my prescription (every 14 days) that I was a drug addict and that it was his fault that this opiate use had escallated to this point and no other doctor would prescribe as easilly as he had.
He finally sent me to a Neurologist. The Neurologist showed me what he had written regarding the reason I was referred. "Opiate Dependancy". Fortuneately for me the specialist sent me for both X-rays and a catscan which showed a stenosis of the lower spine (which by itself is no big deal) and Arthritis in several spots from the middle to bottom of my spine.
If my MD. only looked at the Stenosis and didn't keep reading it would be easy for him to think that my pain didn't warrant such agressive opiate treatment.
In any case I was sent to a New Spine Clinic connected to a hospital in my area. This clinic is a mutifacited approach including physio, phsycological,and occupational.
Now my MD. does not feel as troubled when prescribing the Opiates because my chart now shows that he has other physicians that concur regarding medical reasons for my pain and I'm not just a Drug Addict.
I think there's a lesson to be learned here regarding helping our family doctors protect themselves, or at least spread the resonsibility.
About a year ago I presented my dr. with about 350
percocets that I haden't taken because I was worried that (at the rate that I was using them, 12-14 a day) the
tylenol portion was going to fry my kidneys and liver. I asked to be given pure
Oxycodone as a breakthrough med to go along with the
Oxycontin (slow release). If I had been exibiting the "drug seeking behavior" associated with pure addiction, I would never have given him back these pills.
Again, this action may have demonstrated to him that I was not behaving as an addict but my chart still didn't show that he personally had tried anything else.
Anyway, we each have our individual pain travails but hopefully the medical community will start to consider us innocent until proven guilty, and initially give us the benefit of the doubt.
Peter M.
Dyslexia,"For a cure found."