... clinic, but the one he recommends won't take me until late October. I had back surgery 6 weeks ago and take Subutex(doesn't work anymore) I need pain relief now? 800mg Ibuprofen 3x a day doesn't cut it. What should I say to my Dr. to have him understand my pain level and opioid tolerance. How do I get pain relief?
You really have to be careful with this, because of all the abuse and stigma, those of us in REAL need are easily categorized as druggies.
Having such a recent surgery is great validation. Do not talk about "opiod tolerance" because that sounds like you're an experienced drug user throwing around terms trying to get a script.
Your best bet is to (in person) refer to the surgery and be specific when describing the pain. Most primaries do not want to write for pain meds, especially after they've referred you out. Try to be as sincere as possible when you tell him the ibu isn't helping you and stay away from any verbiage that has anything to do with pain meds, tolerance, etc and hope he has enough compassion & common sense to try to help you with something stronger until October.
It also helps to not say "pain relief" and rather use words like "help with the pain." Hope this helps.
Tell him you have to have treatment before October. Maybe there is another pain management dr he could send you to. Its really hard to get some primary drs to deal with pain. They want to push it off on the specialists. Explain what level your pain is, and what you've taken that isn't helping.
Hi 4help -
With such a recent surgery, I am surprised that your surgeon wouldn't refer you to someone in their practice (which is very common where I live in Connecticut). Lots of these orthopedic groups here are multi-level specialists and all the ones I know have an anesthesiologist on staff who help the patients initially with pain management. Then after you are discharged from the practice, that pm doctor will either still treat you or refer you out for chronic pain management. I don't think you are at that point yet. You need immediate relief.
It's just a thought because that is done here. My PCP wouldn't prescribe anything for pain either. That just isn't his specialty and with so many regulations now... the doctors can't afford the headaches or legal issues that follow.
Actually how I got my current PM doc is... following my neck surgery, the anesthesiologist asked me if I needed prescriptions for my discharge and if I had pain management already. Oh my gosh!!! I was thrilled to death to not have to go find one when I got out! I have had him now for 3 years and have a very nice rapport with him and the entire staff.
I hope this also helps you and gives you more food for thought and further direction.
Blessings to you and let us know how it goes or if you need additional help or support.
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