When u have issues? I have bulging disc, degenerative discs, fibromayalsia, diabetes, arthritis, etc.. I can't detox off of anything, i have no choice but to b on painkillers and muscle relaxers, but they dont help except make me more irritable when im out or close to being out! I have anxiety bc md will not refill or im told i have to go c pain management and cant seem to get in to c them bc they deny me as a patient. I haven't been able to get into c a pm for 4 months and my pcp will not prescribe narcotics, y do they get u started and just as quickly when ur used to meds cut u off? Definitely now fair or logical! Is there anyone in this world that can understand or that u dont have to tell ur health history to b4 they'll do anything? I went to one pm and saw the pa and they took my $ but told me they couldnt help me. WTF?! The balls! Then had the audasity to tell me to make another appointment, for what?
No Dr will see you and prescribe opioids without some medical history or some documentation to back up the reasons for the opioid pain meds. They just cant, not only is this inethical behavior, they can lose their prescribing privileges for doing so. The DEA looks for these kind of behaviors and this is how "pill mills" are busted. They are giving meds indiscriminately. Why do the PM Drs deny you? Have you had problems with opioids in the past? Have you had behaviors that make them leery, like early fills, taking multiple meds from multiple Drs? Not judging, just trying to get a whole complete picture. There is usually a reason that a Dr gets uncomfortable with prescribing opioids. They dont usually cut you off without a reason. Were you making dose escalations on your own or needing continuous escalations? There is usually some kind of behavior that clues a Dr into thinking that perhaps opioids are not the best route for you. Some PM Drs dont prescribe medications and some do. When you are setting up and appt be sure you ask what kind of approaches the Dr uses. Do they do manipulations, injections, pharmacology etc. Dont just come out and ask about whether or not he prescribes opioids. Be open to other approaches. Try some non opioid approaches like other drugs-antidepressants, anticonvulsants, etc. Also be open to trying injections, nerve blocks, physical therapy, accupunture, manipulation etc. It may take more than just opioid meds to fully help your pain. Also be aware that it may take a bit of trial and error to find out what works for your particular pain. There is no magic pill or shot that automatically works for everyone. Be honest and upfront with your Drs. Tell them what you have tried, what works and what doesnt but keep an open mind. If you are obstinate or you argue with a PM Dr they wont treat you. They will decide it is not worth it to try to make you happy if they sense that you are going to be a difficult patient (and I dont mean challenging in how to treat you but challenging in your personality) Again, I'm not judging I'm just throwing ideas out there. Honey draws more flies than vinegar. I do know it can be very frustrating when you hurt and it feels like no one will help. Keep an open mind and be willing to try things even if you think they may not work, you might be surprised at how well some non-opioid treatments work. Good Luck to you and I hope you find the help you are seeking. There are a lot of websites out there with good info. Try the National Pain Foundation or just google pain-just be wary of any sites trying to sell you something-they tend to be biased.
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