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Topic Title: Doctors and pain meds...
Created On Tuesday June 01, 2010 9:37 AM
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oldtimer3

Posts: 66
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Tuesday June 01, 2010 9:37 AM
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As the title states, why do doctors have so much of a problem in writing scripts for pain meds? Most of us here watch our love ones suffer from chronic pain and when we mention
it to the doctors they look at us like we are some kind of dope fiends. Wife MS gives her alot of pain, especially nerve pain.
Am I the only one who has this problem?

-------------------------
Constantly choosing the lesser of two evils is still choosing evil.
Master Caregiver for a bedridden spouse due to PPMS.
 
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rzxq2y

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Tuesday June 01, 2010 10:13 AM
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Hi, Charles,

I think that it depends on the doctor. Before my wife had her hip replacement, she had severe pain in her right hip. We were reluctant to have her undergo hip replacement, since there was the question as whether her rehab would be successful and also if she has a bad fall, she may not be able to walk again. Her orthopedic surgeon was willing to prescribe any pain medication. For a while, his question at the end of each visit was "What prescription do you need?" Unfortunately most of the pain medication does not work for her. We tried acupuncture for a while for pain management. At first it worked. Then basically her hip joint deteriorated so much that nothing helped. EDventually it was so painful for her that she could not walk. We decided to go through with surgery because there was no longer anything to lose.

Best Regards,

Min-Shih
 
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myonly

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Tuesday June 01, 2010 11:48 AM
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Hi Charles,

I was wondering how you were doing. Great to hear from you again.

My husband gets knee pain off-and-on from the MS, but it's usually controlled with over-the-counter meds. You're talking about much worse pain, and yes, it's a shame that the doctors are so reluctant to prescribe medication for it. Would they refer you to a pain management practice perhaps?

I work in ophthalmology, and even being in the eye field, we occasionally get patients with chronic pain problems (unrelated to their eyes) who ask our docs to prescribe heavy narcotics. Sometimes you get folks who are "shopping around" and trying to hit up every doctor they see in order to score some pain meds, which they either take themselves or sell. But if you have a good relationship with your doctors, and they know your situation, and that you're such a great caretaker for your wife, I can't see why they balk at prescribing pain medication for her. I wonder, like I mentioned above, if she saw a pain management doctor, if that would help. I know, though - it's hard to get them ready and out the door for every single appointment, it's hard thinking you've got to go see ONE MORE! I just took my husband for a dental visit this morning, and I'm exhausted, physically and emotionally. And that's just the dentist!!

My prayers are with you. Keep your chin up!
Gaby

 
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rzxq2y

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Tuesday June 01, 2010 11:59 AM
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Some doctors are just very strict, including my own sister-in-law. After my late father had a massive stroke, there are days that he could not sleep. He stayed in my brother's house, and kept everybody awake. My brother's wife is a medical doctor, and she would not prescribe any sleeping aids to our father that is addictive. My father was 87 and not extected to live very long, but we just could not convince her at that time.

With that said, I do agree with Gaby that a good relationship with the doctors helps.

Best Regards,

Min-Shih
 
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TiredDave

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Tuesday June 01, 2010 1:35 PM
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Charles,

Doctors are tough about pain meds because sadly there are people shopping them. People will try to get them and either take them or sell them. Also the doctor can get in trouble with the DEA for this. It is a serious matter for them. But there are a few things you can do.

1. Get a good relationship with your doc. Once they realize that you are looking for pain meds for legitimate purposes things get easier.

2. Use them sparingly. We do not put pain pills in the regular medications but only take them as needed. Reminding the doc that your one month supply has lasted two months helps.

3. Ask for and be willing to try non addictive alternatives. We did this and even though it did not work it did let the doctor know we were looking for pain relief rather than drugs.

Dave Caregiver to Pat
 
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colette

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Friday June 18, 2010 6:00 PM
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I have a friend who has pain in his back, his legs, and his neck, although not all at once. Today it is a migraine. He gets his medical and meds from the VA hospital. One day, according to Rick, the doctor went ballistic on him when Rick asked for a specific pain med that worked for him in the past. The dr became upset when Rick asked for the med by name.

EXAMPLE WHY DRS DO NOT PRESCRIBE PAIN MEDS.
Rick lives in a HUD apt complex for disabled and elderly people on low incomes. It seems when a tenant is on a pain med, it goes through the grapevine. Ppl have come to Rick's apt and offer $20 for a Valium, which he no longer takes. Some ppl might jump at the chance to make $20 for one pill. He IS AWARE of tenants who share their meds with others. Unfortunately those that "share" could be hurting those they give to because sharers do not know if the shared med could interact badly with other meds the "taker" is using.

I agree with the others & Dave. Get to know your doctor & the other way around.



-------------------------
Family Caregivers are not paid because they are worthless; Family Caregivers are PRICELESS!
(paraphrased & source unknown)
 
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oldtimer3

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Wednesday June 23, 2010 12:09 AM
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Diversion is one of the main reasons that pain meds are getting hard to get from the doctor.
As Rep. Ron Paul states:
The sanctity of the doctor-patient relationship is being destroyed by the war on drugs.
Those who suffer from chronic pain and their doctors are the real victims.

Also in addition the DEA has issued strict quotas on the production of opiate based meds which is causing a nation wide shortage for pain medicines. We have become a nation in pain.

By the way, had a talk with Tiff doctors and we all agreed that she is in chronic pain due to her pressure sores and the prescriptions are back on track.

-------------------------
Constantly choosing the lesser of two evils is still choosing evil.
Master Caregiver for a bedridden spouse due to PPMS.
 
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TiredDave

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Wednesday June 23, 2010 1:52 PM
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oldtimer,

All too sadly there are a lot of people who are willing to lie and take advantage of medical professionals. If doctor shopping and diversion wern't problems the DEA would not be involved. Also people can become addicted to pain meds as well causing more problems.

Glad the docs are seeing it your way though just show them that the meds are used when needed and keep the lines of communication between you and the docs open. The docs need to know that they can trust you and things will get easier.

Dave

 
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oldtimer3

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Wednesday June 23, 2010 3:33 PM
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Sadly, we been using the same primary doc since 1998, and in the last couple of years a few local doctors was charged with prescription fraud charges. Since then, the doctors are kinda scared to write scripts for opiates. Have talked with cancer patients that are having a hard time getting meds from their doctors.

-------------------------
Constantly choosing the lesser of two evils is still choosing evil.
Master Caregiver for a bedridden spouse due to PPMS.
 
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majikgypsy

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Monday July 19, 2010 1:07 PM
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Hi, I wanted to add here, even if you do get a doctor to prescribe pain meds, be aware that they can take them away too. My husband, a 22 year vet, was given morphine and pericet for 6 years. Then they cut him off cold turkey. He almost died! Since then we have changed from the local army base's doctors to a private doctor. He's still on pain meds, but a lesser one. And no way near as much!

Also, he has ALS. It took almost a year at the army base to get him to a specialist. Now, we just hope to move from a non-compationate care state to Colorado. I am still having problems getting the paper work that says he has ALS. They want more testing which is done over 7 hours from our home and the testing is very painful.

I wish you luck in getting the correct care, here in Louisiana, it's just not going to happen!


-------------------------
Blessings,
Jan
 
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oldtimer3

Posts: 66
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Thursday July 22, 2010 5:42 AM
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Anywhere near Shreveport? LSU Medical Center there has a excellent neuro center.
http://universityneurosurgery.com/index.php

-------------------------
Constantly choosing the lesser of two evils is still choosing evil.
Master Caregiver for a bedridden spouse due to PPMS.
 
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majikgypsy

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Thursday July 22, 2010 7:06 PM
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We are about 5 hours away. But I will keep that in mind! Thank you so much!

-------------------------
Blessings,
Jan
 
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oldtimer3

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Friday July 23, 2010 1:26 PM
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You mentioned a army base, wouldn't be Ft. Polk would it?
Raised in Louisiana near Shreveport.
That what I am here for, to help ya'll.

-------------------------
Constantly choosing the lesser of two evils is still choosing evil.
Master Caregiver for a bedridden spouse due to PPMS.
 
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stephenj10

Posts: 3
Joined: Aug 2010

Tuesday August 17, 2010 2:59 PM
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Quote

Originally posted by: TiredDave
Charles,

Doctors are tough about pain meds because sadly there are people shopping them. People will try to get them and either take them or sell them. Also the doctor can get in trouble with the DEA for this. It is a serious matter for them. But there are a few things you can do.

1. Get a good relationship with your doc. Once they realize that you are looking for pain meds for legitimate purposes things get easier.

2. Use them sparingly. We do not put pain pills in the regular medications but only take them as needed. Reminding the doc that your one month supply has lasted two months helps.

3. Ask for and be willing to try non addictive alternatives. We did this and even though it did not work it did let the doctor know we were looking for pain relief rather than drugs.

Dave Caregiver to Pat


Speaking from past experience, all 3 of these points are very, very good ones. Especially number 3, by asking for non-addictive alternatives, it shows that you are not "Dr shopping " for pain meds, and that you are trying to find the best, healthiest way possible to facilitate care.

Be Well.

 
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