Refuse To Prescribe (Page 3)
UpdatedI live in a very small town and the number of doctors here is limited. The number of good doctors is almost nonexistent. I'm finding that calling for an appointment as a new patient the office staff says right away, "We don't prescribe pain meds"! Also have heard "We don't take fibromyalgia patients"! This is said before I ever state what I need to be seen for. Assuming I did have pain, do I no longer have the right to have my pain relieved? I'm so offended by this. If you have chronic pain you are treated like a leper. Apparently it is automatically assumed you have a drug problem. Going to other towns is the same. No wonder people self medicate. Is this happening all over the country?
Tramadol has changed classification. It IS a schedule drug and requires a triplicate Rx now. That happened last Fall here in Texas. I presume it did the same everywhere else, too.
GunTotingGrandma, Tramadol is now a Schedule IV. But Schedule IV meds don't have the same laws as Schedule II meds. Although a Dr can require you to come in every 30 days and only give you a written prescription. But that is the drs choice and Not required by law.
Law,
Is Hopkins still treating complex cases from out of state?
I was with Dr. T. (Mr. Famous) in California past 5 years; now California regulations disallow 30 of us rare cases from out of state are without help. I am a professional nurse and published researcher; have progressed to Central Pain Syndrome; and am an ultra rapid opioid metabolizer. I am in Texas.
Your information would be appreciated. I have taken Comp back to court, won, etc. They did not pay mileage for over 16 years of this injury and have a life time medical award.
Thanks!
P450
IWuz,
Methadone is a dangerous drug and the cheapest LA medication. Created under Hitler when they had a shortage of poppy.
Methadone withdrawal makes opiate withdrawal look like kindergarten. You do have a lot of anger; your emphasis is emotional rather then scientific research supports opioids for less loss of work, divorce rate, the list goes on.
When the FDA and i****s like Odumma start controlling medicine and our scientific community then you have issues. Most physicians do not possess the balls to stand up; in Texas you must be registered as a pain clinic makes a very conservative medical board target physicians faster. The DEA bottom lines a physician a million dollar fine due on accusation not proof of. That million is gone they get to keep that and go out witch hunting more physicians.
Gun, you are correct. Ultram has always been a narcotic but created to offset what they considered in the health care industry drug seekers. It is a mixed agonist antagonist; the second part can (and many physicians do not know this) reverse the potential of your straight agonists or opioids.
P450, could you explain a little more in detail the agonist/antagonist aspect specific to Ultram? This is new information for me and I would like to understand it more clearly. Thank you!
Yes, many, many patients at Hopkins are from outside Maryland, both on an outpatient basis, and in- hospital. I believe the easiest way is to obtain a referral from your current physician. He or she might also assist in getting an appointment with the appropriate specialist. In the absence of that, call 410-955-5000 and ask for the referral center. The person will assign a physician based upon your conversation. Be sure to have your insurance information.
LAW,
Is Portnoy still there?
I can do my own referral (am a professional nurse and was seeing the famous Dr. Tennant out in California until they busted out on us out of staters.)
I'm an ultra rapid opioid metabolizer and have not had proper care for almost 10 months and am so low on medication that I am now totally a crippled train wreck I've progressed to Central Pain Syndrome.
Thanks,
P450
I asked my Doctor if he was being bothered by the DEA, Feds about pain meds. He quickly answered yes, they treat us like criminals! What a shame that Doctors are being pressured by the government about the way they practice Medicine! No wonder that the opiate epidemic is so out of control...There are many people who suffer daily and Doctors can no longer help them, because of the addicts who abuse the system! This so-called drug war has been going on for decades and has not even put a dent into the illegal narcotic trafficking!
Your arrogance is astounding. I've seen vets on methadone & because it has a very long half life, they sit in a semi-comatose state. Methadone is very cheap which is why the VA loves it. I've been in chronic pain ten years. I just had 4 more molars pulled due to rotting from inside out thanks to Lyrica. By the time I knew what was happening, I had lost teeth. I've tried many meds for pain. Opiates are the only thing that helped. I haven't had to increase the dose in a year & a half. I pay for it myself. When my doctor retires or can't prescibe, my life will be over. I am not going to spend years in the excruciating pain I was in before. My kids are grown & don't come to visit. I can't go out to eat. We can't travel due to finances. My only pleasure is reading. I'm not over medicated. I have horrible insomnia, in fact. But I'll be damned if someone who doesn't know my medical history, will determine what works best for pain for me. I have spent over $150,000 on medical care &prescriptions in the last 10 years.
Lucky,
All opioids cause dental erosion and again it is a horrible drug for withdrawal and actually infiltrates your bones. If you think your doctor will outlive you or get busted find a methadone clinic. They will dose you every morning!
I don't know who you think is arrogant but pain clients need empowerment not devaluation.
TEXASMD,
You are very interesting. There is another physician who posts. I am a professional nurse and a published researcher (scholarly).
You practice in Texas, well you do not do PM. In Texas to prescribe for chronic pain you must certify with the State Medical Board as a pain clinic or you cannot repeat cannot do chronic pain clients.
It sounds as if you do Dr. Fix It. Expensive injections which cause scarring and further pain and damage in the future. I have the best surgeon in Texas and the U.S. so I know who to go to for cutting and the BEST are conservative.
I am just amazed really??
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Well, after I had trigger thumb release surgery last summer, I had no trouble getting it.
When I refilled it, though, just a few weeks later, the state required a Schedule II prescription. so The surgeon had to rewrite an Rx that he had granted refills on just a short time before.
When I enquired with the pharmacy, they told me about the Schedule Change, as it had just occurred.
My pain management refuses to prescribe soma anymore. I never failed a drug panel, dont abuse meds, soma actually works. Why do doctors think they know what helps you when you know your own perfect body (haha)
bondie, Soma has been found to be highly addictive. That is why some drs will no longer prescribe it and why some states have moved it to a Schedule II med. Soma is not a Schedule II at the federal level.
P450, you need to post the link to the State Of Texas Law that states only a pain management dr can prescribe pain meds for chronic pain. This would mean that in the State Of Texas a dr that is not a pain managment dr cannot prescribe pain meds to a chronic pain patient.
SOMA is not addictive at all.
It is highly sedating so if you are on pain management the combination of opioids called a "cocktail" and pill mills used to write combinations of Soma, Xanax, and Lortab be lethal.
No it is not addictive.
It is something that can kill you and causes after 3 months of use abnormal liver function tests. Make sure blood work is run with this drug.
P450
P450, I got to say, when someone like you who wants to be looked at as a know it all, done it all person, yet your blatant lies, tell me that your looking for attention. Now, there's some of us who can tell good advice from your advice (bul_s***) and you make it so difficult to be patient and understanding towards a very disrespectful person like you. I get a lot of good information and advice from this site, and there are people who truly are caring and helpful that actually know what they are talking about, so be respectful and you don't always have to be a mister know it all. Because you can hurt somebody with your nonsense, I know you're not going to like what I said, but I had to let you know how you came across to me, in one word, sad. This site is good and good people respect it, cause it lets others help each other with good honest advice. P450 I understand and feel you, take care.
BL,
Go look it up under Texas Medical Board. I am a regulatory expert and they cannot unless they want to LOSE their privileges and the list of doctors doing so is growing larger by the day.
Unfortunately six years ago our entire Medical Board changed to conservatives, this was the fastest way to track QUACK QUACKS as I call the pill mills. Houston was inundated with physicians who had entire typed prescription pads with the SOMA cocktail; either Xanax or Valium, SOMA, and HC. I do not approve of this however, chronic painers in Texas are now forced to go to a pain clinic and they are REGISTERED.
NO,
Sorry I have not been on and saw your question.
An agonist simply refers to the drugs your brain recognizes as opioids; for example Oxycodone, Morphine, Oxymorphone, and on short acting, Percocet, Oxycodone IR.
An antagonist are the ugly addiction drugs they REVERSE the opioid effect and or can put you in withdrawal if you are on an opioid. An old time drug that was mixed is called Talwin if you went to an ER in pain they used to use this on occasion IM inj.
Ultram was created for drug addicts it is a highly dangerous drug. It can partially reverse (antagonist) the opioid effect. Most physicians are not trained heavily in biochemistry professional nurses are; 2 year and 3 year RN's and LPN's or in other states LVN's are not; they have the "duh" give it to them if they get the name right. Therefore, patients often hurt themselves by asking for Ultram when they are on Morphine LA or Oxycodone LA (contins) because the breakthrough is reversing on some level the long acting.
Now this drug is a poison. For those of any age it raises seizure threshold and if you are going to a physician who is an opioidphobic writing you anticonvulsants for pain you are already high because if you suddenly stop the drug you will have SEIZURES and each seizure experienced reduces or stops oxygenation to the cerebral cortex damaging your brain. If you have CARDIAC history this drug is dangerous and if you are a COPDer or elderly and these poor folks are prescribed it like cotton candy KILLING THEM OFF IN NURSING HOMES ON a regular basis; I have gone through such facilities demanding immediate meetings with house staff on not writing this for pain for the elderly in the buildings for in short they are in a home because they do have these issues and treating them instead with Lortab or a regular opioid is safer and kinder to do; why give them WORSE then they came in with?
I have seen patients go psychotic on Ultram, hallucinate, and also become depressed with suicidal ideation. Any physician writing you Gabapentin drugs for pain is a loser as well; you must wean off slowly to avoid seizures (rebound) and further you are gaining weight like an elephant and they are not FDA approved for pain; they are for seizures. There are multi billion dollar legal cases against drug manufacturers and they pay GLADLY for pain specialists use these drugs to protect their own licenses (not help the poor patients) and would rather pay out settlement money then lose the huge profit ratio.
Hope that helps a bit.
P450
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