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Pain Management (Frustrated) Help!!!!!!!
  1. #1
    Ron_nie is offline New Member
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    Exclamation Pain Management (Frustrated) Help!!!!!!!

    Well guys this is the 1st time I've posted here but I figured this would be a great place to ask this question etc! I hope you guys can help!

    To make a very long story short, I got in a very bad wreck back in December or 2009, I broke my left femur in 3 different places (Pic below) and to this day it still causes me high levels of pain (the middle of the bone is STILL not grown back together!!!)

    Anyway, not to bore you guy's but I've been going to a pain management place here in Eastern North Carolina for about 4-5 months. He started me off with Vicodin 5mg, which done absolutely nothing whatsoever. After 2 months of those he moved me to Oxycodone 5mg (fast 5's) and I'm on my 4th month of these things and he refuses to bump up the mg's because of "tight DEA restrictions" (so he says). What the hell can I do to get this guy to give me something that actually works? He tells me to take these 5's 1x per every four hours!
    *I work on a full time scallop boat (when season is in, and i've been shrimping for about a month now) which is 18+ hours on your feet etc*

    I've never had a history of addiction, I've been on opiates since the day of the wreck. They used to give me Oxycodone 15mg which were the BEST pain reliever I've ever had, except for an occasional 30mg Oxycodone etc.

    I'm not sure if this makes any sense being it's 3:18 am & I just got home from a month long shrimping adventure in Florida! Keep in mind he prescribed me another 120 5's the 17th of this month, and I'm down to about 30 or 40 pills! I don't want to go out and buy the stuff even though its readily available at all times!!

    People please help me out here, I'm in pain (as I'm sure I'm not the only one going through this here) and need something stronger!


  2. #2
    Robert_325 is offline Retired
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    Ron ...... There is nothing that you can do except get a release from your current dr if you signed a contract and find another dr. No one can force a dr to give you more medication.

    Oxycodone is a schedule II narcotic and very closely scrutinized by the DEA, much closer than a schedule III like the hydrocodone you were gettting before. They watch your dr! He is not willing to place his ability to earn a living over your pain. Pain or no pain you have to understand his position too even if you don't like it. So you have no choice but to deal with him or get another dr. There are lots of drs.

    Perhaps you should be doing something else than 18 hour shifts on shrimpboat if that is causing you so much pain. It's kind of a deal where you are working long and hard shifts doing heavy work and want more pain meds. Dr probably thinks that if you can do that he would be questioned giving you pain meds of a greater strength under those circumstances. Hope that makes sense. Not judging you, just explaining the way it works. God bless.
    I am not a dr. My statements are based on years of experience and related education. Consult with the professional of your choice regarding matters of concern.

  3. #3
    Ron_nie is offline New Member
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    Quote Originally Posted by Robert_325 View Post
    Ron ...... There is nothing that you can do except get a release from your current dr if you signed a contract and find another dr. No one can force a dr to give you more medication.

    Oxycodone is a schedule II narcotic and very closely scrutinized by the DEA, much closer than a schedule III like the hydrocodone you were gettting before. They watch your dr! He is not willing to place his ability to earn a living over your pain. Pain or no pain you have to understand his position too even if you don't like it. So you have no choice but to deal with him or get another dr. There are lots of drs.

    Perhaps you should be doing something else than 18 hour shifts on shrimpboat if that is causing you so much pain. It's kind of a deal where you are working long and hard shifts doing heavy work and want more pain meds. Dr probably thinks that if you can do that he would be questioned giving you pain meds of a greater strength under those circumstances. Hope that makes sense. Not judging you, just explaining the way it works. God bless.
    Thanks for the reply, I appreciate it!

    I've been on boats all of my life, I know nothing else except the water I completely understand and also agree with you about him & his job! But my problem is I have to be able to work as fast as possible all the time without having to stop and take 4x 5mg percs. My captain understands my pain and sometimes does not push me as hard as I am used to being pushed before I got into the accident. I've tried to explain this to my Dr, but he's the type that no matter how you put it / come in using a damn cane you will not get more than what you already have. The most I have asked him for are the fast 10s, which I've had on numerous occasions and they really do work wonders for 2 or 3 hours. If I go and see another "specialist" what are the chances of getting more pills, or a stronger dose? I know my leg will never heal, and they've told me that countless times (ortho doc) and my only other choice is to go in for another surgery to remove the rod and get some type of plate put in there, and as the orthopedic dr told me there is a 70% chance it will not grow anymore regardless of the hardware put into my body!

  4. #4
    Robert_325 is offline Retired
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    There are no guarantees but there are a lot of drs. You don't want to get into seeing multiple drs which is dr shopping and illegal. Will get you thrown in jail. But you have every right to seek out a second, third or however many opinions until you find a dr that will help you. It's too bad that you have to do shrimping. You will just continue to build a higher tolerance to the pills until nothing takes the pain away and alll they will be doing for you is keeping you from getting sick from w/d. It's not a good place to be. I know from experience before I stopped almost ten years ago and retired. I would probably be dead had I not. Wish you the best of luck. God bless.
    I am not a dr. My statements are based on years of experience and related education. Consult with the professional of your choice regarding matters of concern.

  5. #5
    tknpain is offline New Member
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    Default Pain Management

    Quote Originally Posted by Ron_nie View Post
    Well guys this is the 1st time I've posted here but I figured this would be a great place to ask this question etc! I hope you guys can help!

    To make a very long story short, I got in a very bad wreck back in December or 2009, I broke my left femur in 3 different places (Pic below) and to this day it still causes me high levels of pain (the middle of the bone is STILL not grown back together!!!)

    Anyway, not to bore you guy's but I've been going to a pain management place here in Eastern North Carolina for about 4-5 months. He started me off with Vicodin 5mg, which done absolutely nothing whatsoever. After 2 months of those he moved me to Oxycodone 5mg (fast 5's) and I'm on my 4th month of these things and he refuses to bump up the mg's because of "tight DEA restrictions" (so he says). What the hell can I do to get this guy to give me something that actually works? He tells me to take these 5's 1x per every four hours!
    *I work on a full time scallop boat (when season is in, and i've been shrimping for about a month now) which is 18+ hours on your feet etc*

    I've never had a history of addiction, I've been on opiates since the day of the wreck. They used to give me Oxycodone 15mg which were the BEST pain reliever I've ever had, except for an occasional 30mg Oxycodone etc.

    I'm not sure if this makes any sense being it's 3:18 am & I just got home from a month long shrimping adventure in Florida! Keep in mind he prescribed me another 120 5's the 17th of this month, and I'm down to about 30 or 40 pills! I don't want to go out and buy the stuff even though its readily available at all times!!

    People please help me out here, I'm in pain (as I'm sure I'm not the only one going through this here) and need something stronger!

    Ron...

    I understand your pain completely. I am currently on 10mg Methadone 3x a day and 5mg Oxycondone(w/out tylenol & not time released) 3x a day for break through pain. I have previously been on the Fentanyl patch, Exalgo (a derivitive of Morphine), & am contiplating going back on the patch, so guy, I KNOW your pain. Mine, however, is my cervical and lumbar spine. Two sugeries with titanium instrumentation; rods, plate, screws. I had a spinal cord stimulator implanted, which didnt help, so after a little over 10 months of it, I just had it removed this past Oct. I think you need to get a primary care doc. Im assuming this pain management doc isnt your normal doc that you would see, say for a cold. I know there is a lot of talk of Doc Shopping, but if you are only gonna go to your second doc for basically a second opinion, no one is gonna label you or think that you're shopping for meds. Obviously you have a serious injury that requires something more than what you're currently taking. Not to mention, if you're a pain patient with a legitimate injury requirying serious pain control, everyone knows that eventially you build up a tolerance to a med or to a specific dosage and have to have your dosage increased or your med switched.That's not addiction, that's just how long-term pain management with narcotics goes. If your doctor is using the DEA to hide behind treating his patients, then he has something in his closet thats causing him some guilt and fear of being caught. I have NEVER had a doc use that excuse and refuse to properly treat me with the suitable medication. And I've seen A LOT of docs who have all prescribed me narcotics. My opinion, ditch this dude and find another pain management specialist as well as a primary/family doctor. If you had a primary/family doc, he/she could refer you to the best PM doc, or they may be able to treat you themselves. Definiately, I'd find someone other than who you are going to right now. Hope something in this rambling of mine helps you. Best of luck to you.

  6. #6
    Ron_nie is offline New Member
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    Last edited by ddcmod; 12-04-2011 at 12:26 AM.

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