Refuse To Prescribe (Page 4) (Top voted first)
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?
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.
Gran,
I am highly complex and will die soon without a physician. Does your physician write Duragesic due to my P450 DNA pills do not work (I have all the paperwork) and would love to have a physician who treats you I am allergic as you are; that is why BRAND on Duragesic the latex and silicone on the generics eats holes in my body and they do not go away.
In the 90's the scientific community which I am a part of (published researcher, and professional nurse) knew that opioids were the safest most productive way to treat intractable pain. Further we finally were able to not just treat pain as a symptom of another disease but a disease in and of itself.
I saw Dr. Famous out in California after my Houston PM died (was with him over 10 years) and still have the best orthosurgeon in the world currently at Baylor, Houston. I am way over in Port Arthur area but had to travel for five years to California and 10 months ago he dumped 30 of us (out of state) due to new California regulations. I am now house bound on less than 30% of what I was on and you would not believe what I as an ultra rapid opioid metabolizer was finally on to stabilize Central Pain Syndrome which in short means all those years of pain had caused inflammation to the brain which is generally fatal.
I have fought all odds my good friend and appreciate your spirit and want to tell you that using morphine is likely the best measure you could do for that chronic pain.
Peace
Gran,
Latex and silicone in generic patches (glue). You are correct madam also in generic pill binders.
I need your help if you do have a Houston physician I am fairly sure who I know or heard about in Baytown, it's a damn shame but we changed ALL in our medical board around 2010 when Dr. Hochman died he took care of me for 10 years (until his death).
Pacific Northwest is suicide, they were bad before this, they are worse now. You won't get morphine there.
The physician I went to for the past 5 years is the top PM in the country but 10 months ago he dumped 30 out of state rare cases (he only takes the worst the total piss end death risks and I can die from pain since the P450 DNA allowed it to reach my brain and the barrior is now damaged) and came out of retirement (he is now about 73) when Joel died and another "good physician" who evolved terminal cancer and went bad rapidly in Oregon.
You do not want to move anywhere out there but California but Jerry Brown who was Attorney General was busting pharmacies nonstop; the class 2's are written 3 per page. A kind gentleman I am posting with on the Duragesic withdrawal posts gave me (privately) a physician in Louisiana. I am waiting to hear from him since I'm on the border anyhow and had a boyfriend I lived with there on and off for 10 years. I turned 61 in September although most think I am in late 30's or 40's. Currently fighting and won against the Attorney General in the state my Workers Comp was in and fighting the local yokels at SSA who decided after all these years to deny me for my comp did not pay all this travel for 20 some years. Meaning I'd take a DON or CNO job and drop within 4 weeks, get laid off but it paid the airfare to these wizards. When I was seeing Joel I lived in Midland so you know that was better by plane, and California is only by plane.
I would love the help Gran if you feel comfortable take your time. I have or had put aside 10 to 15% a month for years which is the only thing that has kept me alive; since I am P450 only patches and liquid work, the pills they shoved at me for years apparently zipped out without any good benefit before my GI mashed them to sludge :)
Ron, drs don't work at the pharmacy or insurance company. They have no way of knowing what problems patients may encounter. Insurance companies pay drs to diagnosis and treat you. What you're talking about would require an enormous amount of time and insurance companies won't pay for it. But, you can pay out of pocket. Drs cab advise you on your health and procedures. But the education you're referring to isn't a drs job. You have to assume a certain amount of responsibility when it comes to your health.
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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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
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
No Paddle, The right to have your pain management in a hospital setting where you don't control the pain meds you receive is Not the same as having a Dr write you a rx outside a hospital setting. The Joint Commission oversees hospital settings. Put Joint Commission in Google, when you are at the site put Pain Management in the search bar there.
Having your pain addressed doesn't always mean.receiving pain meds. Just because you don't agree with your Dr doesn't mean that your pain isn't being addressed in a medically accepted manner.
You never had the right to be prescribed pain meds. There are no.laws stating drs have to prescribe pain meds. If you need meds for chronic pain, you need to see a pain management Dr to manage your pain and other drs to treat other aspects of your health conditions.
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