I was diagnosed by a local ortho practice almost 2 years ago with degenerative discs disease in my lower back. The pain has reached a point of almost constant intolerability yet it is helped tremendously by prescription pain meds. The practice I have been seeing has been very compassionate and understanding and I have only requested medications when the pain was really bad, not on a consistent basis. I've had three injections in my lower back for very little relief and not lasting more than a month or so at most. I recently went to see the practice and was referred to a "new" specialist that handles their spinal issues in that I have had the injections. The doctor wrote me a prescription that was, as usual, very helpful in managing my pain levels. I would say I am a 6-7 on the meds and able to function well enough to feel good about myself. Without them, I'm a 0-3 at best. I went to see the "new" doctor and let him know that the only thing that had given me any relief was prescription pain meds. He checked my late 2009 MRI and ordered a new on which I have since taken and "had" a follow up with him this Friday (tomorrow). I ran out of medicines on Monday of this week after taking them as prescribed. I called Tuesday and requested a refill since I was again experiencing a lot of pain (meds where 5mg/500 Hydro, 3-4 times a day as needed). I was shocked when his medical assistant said that he would not call in medicines and I could take Advil or Aleve with over the counter Tylenol until he saw me on Friday. I told her that I was on Etodolac for anti-imflamtion and that I had been told NOT to take additional anti-imflammatories. I was shocked when she responded that "Well Tylenol is an anti inflammatory!". I tried to educate her a bit but she said well this is what the doctor has said for your to do and he's not calling anything in until he has a chance to see you on Friday. She said he does not call in meds for patience he has not seen or written a prescription for before. I said, he has already seen me AND written a prescription for pain and called in muscle relaxants and has anyone looked at my file? I went on to ask if he would call in a three day supply until I could see him AGAIN to which she said he does not do that. I said 'so in the meantime I'm just supposed to suffer unnecessarily?". I said, it's not like I'm NEW to the practice or walking in off the street asking for an unreasonble amount to which she said there was nothing she could do I would just have to wait. I was furious and sent and email to the "concerns" deparment outlining the above along with reporting it to the Clinical Director. Apparently it pissed off the doctor and he sent a certified letter today saying he would not be able to treat me. My question (sorry it took so long but this is unbelievable!): His letter did say he would see me for emergencies for the next 30 days as a courtesy (such a courtesious person and all!). MAIN QUESTION: Do I go in tomorrow and ask for pain meds? Would he have to prescribe them? The thought of suffering another day is unbearable!!! I do not want to suffer why I try to find a doctor that cares more about me and my well being than his ego. I also don't want to waste my time sense he is abviously mad at me for calling him on his BS if he does not have to write me a prescription. Thanks everyone for your help. I am about a 6-7 and able to function well enough to feel good about myself on the meds and about a 0-3 without them.
The doctor is obligated to see you for thirty days from the day he wishes to release you because he has you on medication, he doesn't have to continue to prescribe though. I would try to be congenial enough to get your MRI results and hopefully a one month supply of the med and quickly find another doctor. Good luck,
Unfortunately doctors here in the US are moving away from prescribing opiates. It has been shown that over time the opiates can actually cause more pain than they help. I know, I take them too and I can't imagine life without them but I sure want to try it as a lot of people find their pain is lower after a time being off of them. Best thing to do is look for another doctor for shots and procedures, do physical therapy to develop a routine to get you strong and moving and adopt a spirit of trying alternative medicine such as acupuncture, steroid shots, homeopathic and herbal treatments, nutrition, massage, and chiropractor. I know, it really stinks and is very hard. I wish I could prescribe you the meds you need. Let us know how it goes. We really do care here. Regards -
I have a spinal cord injury I had 2 operations to fuse c1 c2 & until I found a good doctor that will prescribe main meds that work & she knew I would be physically depenent on 8 8 mg of Dilaudid (Hydromorphone,generic) but the good out weighed the bad & if you don't F around,a decent doctor will prescribe strong narcotics for pain like there supposed to if nothing else is doing the trick plus I don't think that vicodin can hold a candle to some of the stuff I was on until I found the Dilaudid to work the best,i.e morphine sulfate 100mg,oxycodone in high doeses so what your asking for doesn't seem outrageous or even that odd.
Your not even asking for the 10mg vicodin so I don't know why they would be that way except I had a dentist write those once & when I asked for a few days more they were goofy so I said the hell with them & the way they are treating you now I would already be thinking of finding someone else because once you find a level that works & you don't call in early for them you should be fine. Good luck & just tell them what works & what doesn't & please don't waste your time with crap you know doesn't.
Thanks everyone for the advise. This is such great site to talk to people who understand. Helps knowing I'm not alone. Well, I went to the ortho doctor this a.m. and he refused to see me! This after sending me a note saying he would "courtesly" provide emergency treatment for 30 days. What he doesn't know is I had already fired him prior to his letter for the harmful recommendations for other meds that I knew did not mix and for his lack of concern for my well being to even call in a two day supply of pain meds until I saw him. NO WAY someone like that is touching my back! Problem is that I'm between a rock and a hard place. I KNOW I need the meds and he doesn't want to prescribe them. I'm sure my reporting his actions is the main cause of this unbelievable egotistical behavior but when your in constant, nagging chronic pain that can be helped and you are dealing with nuts like this, something has to be said in my opinion.
I'm concerned now that my primary care doctor will not be willing to help me and lable me as a "druggy" if I go to him, not knowing the complete story. I can explain but we all know that us "drug addicts" are ALL liars and unreliable!
Complicating this whole matter is two knee surgeries that I had this year which did require a lot of post pain medicine management. I went to a local urgent care after leaving the "nuts" office today and they almost did not prescribe me any pain medicine because of a "history report" that came up. I explained to the doctor that most of what she was seeing was post operative surgery for 2 knee surgeries and only some of it was back related. I lied and told them that I had pulled my back out lifting something that agrivated my discs. She asked me why I could not just get the Ortho place to call in some meds. I felt like if I told the truth she would thing "unreliable drug addict" so I made up some things on that too. She wrote me a presc for 20 7.5/500 pills. Very short term help but glad to have any good days/moments.
I hate having to lie but I do not know what else to do! This is craziness. Are there non opiate drugs that will work with chronic lower back pain? I've done the injections and PT and the only thing that has allowed me to have a decent quality of life are the opiate pain meds. I no longer expect to have a great quality of life but I do want to have a decent, bearable way of life. Otherwise, I don't know how long I can take it!
Hey Looking: I don't know where you live, but you need to find a pain doctor specialist. They understand, and generally you sign a contract with the that you will not go to anyone else to get pain meds, stick to one drugstore, etc. This is for your doctors @$$, more than your own safety. Otherwise the DEA will be closing down that doctor before they can say boo. Your ortho probably "fired" you because he wasn't expecting to dole out pain meds. (I don't know, but it seems to me that ortho's are the worst when it comes to pain meds, even thought they preform the most painful surgeries and procedures!!) He was covering his @$$ too.
Tramadol is a non narcotic pain med, depending on who you ask. Some people feel really strange on it, and some people it doesn't work. BUT, others SWEAR by it, so you just have to try and see. Just like some people think that dilauded is the greatest medicine that ever existed, I could take it by the handful, and not get a bit of pain relief. Everybody is different on what helps them with their pain. It's really a lot of trial and error. Some people need muscle relaxers, others take Cymbalta, or Lyrica. There are such combinations out there, and that is why you need to talk to someone who is an expert in your field. the MRI should help in regards to how bad your back is. Me, I have about the worst back you can imagine. I have been told by more than one doctor, they don't know how I can walk. Pain SUCKS. Please PQ me if you have any other questions, but do follow through on the MRI. YOur ortho, just might change his mind when he sees the results.
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