Guest guest Posted April 21, 2009 Report Share Posted April 21, 2009 Ken......Hate to say it......but " I Feel Your Pain " But seriously, I've never gotten anything more than Lortab from a family doc. You need to be referred to a Pain Management Clinic. That way you sign a contract stating that you will not take anything that he isn't prescribing or knows about. You will be subjected to random urine screens and the first time you come back " dirty " .....it's over and chances of finding another one will be slim since that tidbit of info will follow you. Finding a " prescribing " family doc in todays legal climate is almost nonexistent. I know this isn't what you want to hear but I imagine that most of the members in the group would agree with me. Good Luck Danny > > SORRY IF EV1 MISS UNDERSTOOD ME, I WORDED IT WRONG IN MY EARLIER EMAIL. I AM NOT ASKING ABOUT WHERE TO GET PAIN KILLERS JUST WANTED TO KNOW IF ANYONE WAS IN THE SAME POSITION AS ME AND IF ANY ONE HAS ANY IDEAS THAT COULD BE USE FULL.SRRY IF EV1 TOOK IT THE WRONG WAY BUT ITS MY FIRST TIME EVER POSTING TO A JOB LIKE THIS. > > SINCERLY > KEN MARTYN > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 21, 2009 Report Share Posted April 21, 2009 Ken......Hate to say it......but " I Feel Your Pain " But seriously, I've never gotten anything more than Lortab from a family doc. You need to be referred to a Pain Management Clinic. That way you sign a contract stating that you will not take anything that he isn't prescribing or knows about. You will be subjected to random urine screens and the first time you come back " dirty " .....it's over and chances of finding another one will be slim since that tidbit of info will follow you. Finding a " prescribing " family doc in todays legal climate is almost nonexistent. I know this isn't what you want to hear but I imagine that most of the members in the group would agree with me. Good Luck Danny > > SORRY IF EV1 MISS UNDERSTOOD ME, I WORDED IT WRONG IN MY EARLIER EMAIL. I AM NOT ASKING ABOUT WHERE TO GET PAIN KILLERS JUST WANTED TO KNOW IF ANYONE WAS IN THE SAME POSITION AS ME AND IF ANY ONE HAS ANY IDEAS THAT COULD BE USE FULL.SRRY IF EV1 TOOK IT THE WRONG WAY BUT ITS MY FIRST TIME EVER POSTING TO A JOB LIKE THIS. > > SINCERLY > KEN MARTYN > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 22, 2009 Report Share Posted April 22, 2009 Hi Ken, I understand where your coming from and am so sorry you are not being properly treated. I think pain practice varies by state. I say this because in MN the pain management Dr's don't RX meds at all; they only do injections and procedures. I have always got my meds from family Dr; now I see a nurse practioner and she RX's my meds; much stronger ones then Lortab. Every Dr is different where opioids are concerned and you might have to see a few before finding one that is willing to help you. Be brutally honest with them, tell them exactly what it's like for you; stay in the mindset that you are not Dr shopping (some may imply this) but you are looking for the pain mgmnt that you need. I wish you the best of luck!! Keep posting here! Hugs, From: dmj25 <dmj25@...> Subject: Re: TO ALL MEMBERS neck pain Date: Tuesday, April 21, 2009, 7:44 AM Ken......Hate to say it......but " I Feel Your Pain " But seriously, I've never gotten anything more than Lortab from a family doc. You need to be referred to a Pain Management Clinic. That way you sign a contract stating that you will not take anything that he isn't prescribing or knows about. You will be subjected to random urine screens and the first time you come back " dirty " ..... it's over and chances of finding another one will be slim since that tidbit of info will follow you. Finding a " prescribing " family doc in todays legal climate is almost nonexistent. I know this isn't what you want to hear but I imagine that most of the members in the group would agree with me. Good Luck Danny > > SORRY IF EV1 MISS UNDERSTOOD ME, I WORDED IT WRONG IN MY EARLIER EMAIL. I AM NOT ASKING ABOUT WHERE TO GET PAIN KILLERS JUST WANTED TO KNOW IF ANYONE WAS IN THE SAME POSITION AS ME AND IF ANY ONE HAS ANY IDEAS THAT COULD BE USE FULL.SRRY IF EV1 TOOK IT THE WRONG WAY BUT ITS MY FIRST TIME EVER POSTING TO A JOB LIKE THIS. > > SINCERLY > KEN MARTYN > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 22, 2009 Report Share Posted April 22, 2009 Hi Ken, I understand where your coming from and am so sorry you are not being properly treated. I think pain practice varies by state. I say this because in MN the pain management Dr's don't RX meds at all; they only do injections and procedures. I have always got my meds from family Dr; now I see a nurse practioner and she RX's my meds; much stronger ones then Lortab. Every Dr is different where opioids are concerned and you might have to see a few before finding one that is willing to help you. Be brutally honest with them, tell them exactly what it's like for you; stay in the mindset that you are not Dr shopping (some may imply this) but you are looking for the pain mgmnt that you need. I wish you the best of luck!! Keep posting here! Hugs, From: dmj25 <dmj25@...> Subject: Re: TO ALL MEMBERS neck pain Date: Tuesday, April 21, 2009, 7:44 AM Ken......Hate to say it......but " I Feel Your Pain " But seriously, I've never gotten anything more than Lortab from a family doc. You need to be referred to a Pain Management Clinic. That way you sign a contract stating that you will not take anything that he isn't prescribing or knows about. You will be subjected to random urine screens and the first time you come back " dirty " ..... it's over and chances of finding another one will be slim since that tidbit of info will follow you. Finding a " prescribing " family doc in todays legal climate is almost nonexistent. I know this isn't what you want to hear but I imagine that most of the members in the group would agree with me. Good Luck Danny > > SORRY IF EV1 MISS UNDERSTOOD ME, I WORDED IT WRONG IN MY EARLIER EMAIL. I AM NOT ASKING ABOUT WHERE TO GET PAIN KILLERS JUST WANTED TO KNOW IF ANYONE WAS IN THE SAME POSITION AS ME AND IF ANY ONE HAS ANY IDEAS THAT COULD BE USE FULL.SRRY IF EV1 TOOK IT THE WRONG WAY BUT ITS MY FIRST TIME EVER POSTING TO A JOB LIKE THIS. > > SINCERLY > KEN MARTYN > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 22, 2009 Report Share Posted April 22, 2009 , Technically your NP is not prescribing your meds your DR is.......NP's cant write for controlled prescriptions. With a severe back problem your neurosurgeon should write your scripts for you........or your ortho... Deb RN From: neck pain [mailto:neck pain ] On Behalf Of Barber Sent: Wednesday, April 22, 2009 1:37 AM neck pain Subject: Re: Re: TO ALL MEMBERS Hi Ken, I understand where your coming from and am so sorry you are not being properly treated. I think pain practice varies by state. I say this because in MN the pain management Dr's don't RX meds at all; they only do injections and procedures. I have always got my meds from family Dr; now I see a nurse practioner and she RX's my meds; much stronger ones then Lortab. Every Dr is different where opioids are concerned and you might have to see a few before finding one that is willing to help you. Be brutally honest with them, tell them exactly what it's like for you; stay in the mindset that you are not Dr shopping (some may imply this) but you are looking for the pain mgmnt that you need. I wish you the best of luck!! Keep posting here! Hugs, From: dmj25 <dmj25@... <mailto:dmj25%40comcast.net> > Subject: Re: TO ALL MEMBERS neck pain <mailto:neck pain%40> Date: Tuesday, April 21, 2009, 7:44 AM Ken......Hate to say it......but " I Feel Your Pain " But seriously, I've never gotten anything more than Lortab from a family doc. You need to be referred to a Pain Management Clinic. That way you sign a contract stating that you will not take anything that he isn't prescribing or knows about. You will be subjected to random urine screens and the first time you come back " dirty " ..... it's over and chances of finding another one will be slim since that tidbit of info will follow you. Finding a " prescribing " family doc in todays legal climate is almost nonexistent. I know this isn't what you want to hear but I imagine that most of the members in the group would agree with me. Good Luck Danny > > SORRY IF EV1 MISS UNDERSTOOD ME, I WORDED IT WRONG IN MY EARLIER EMAIL. I AM NOT ASKING ABOUT WHERE TO GET PAIN KILLERS JUST WANTED TO KNOW IF ANYONE WAS IN THE SAME POSITION AS ME AND IF ANY ONE HAS ANY IDEAS THAT COULD BE USE FULL.SRRY IF EV1 TOOK IT THE WRONG WAY BUT ITS MY FIRST TIME EVER POSTING TO A JOB LIKE THIS. > > SINCERLY > KEN MARTYN > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 22, 2009 Report Share Posted April 22, 2009 , Technically your NP is not prescribing your meds your DR is.......NP's cant write for controlled prescriptions. With a severe back problem your neurosurgeon should write your scripts for you........or your ortho... Deb RN From: neck pain [mailto:neck pain ] On Behalf Of Barber Sent: Wednesday, April 22, 2009 1:37 AM neck pain Subject: Re: Re: TO ALL MEMBERS Hi Ken, I understand where your coming from and am so sorry you are not being properly treated. I think pain practice varies by state. I say this because in MN the pain management Dr's don't RX meds at all; they only do injections and procedures. I have always got my meds from family Dr; now I see a nurse practioner and she RX's my meds; much stronger ones then Lortab. Every Dr is different where opioids are concerned and you might have to see a few before finding one that is willing to help you. Be brutally honest with them, tell them exactly what it's like for you; stay in the mindset that you are not Dr shopping (some may imply this) but you are looking for the pain mgmnt that you need. I wish you the best of luck!! Keep posting here! Hugs, From: dmj25 <dmj25@... <mailto:dmj25%40comcast.net> > Subject: Re: TO ALL MEMBERS neck pain <mailto:neck pain%40> Date: Tuesday, April 21, 2009, 7:44 AM Ken......Hate to say it......but " I Feel Your Pain " But seriously, I've never gotten anything more than Lortab from a family doc. You need to be referred to a Pain Management Clinic. That way you sign a contract stating that you will not take anything that he isn't prescribing or knows about. You will be subjected to random urine screens and the first time you come back " dirty " ..... it's over and chances of finding another one will be slim since that tidbit of info will follow you. Finding a " prescribing " family doc in todays legal climate is almost nonexistent. I know this isn't what you want to hear but I imagine that most of the members in the group would agree with me. Good Luck Danny > > SORRY IF EV1 MISS UNDERSTOOD ME, I WORDED IT WRONG IN MY EARLIER EMAIL. I AM NOT ASKING ABOUT WHERE TO GET PAIN KILLERS JUST WANTED TO KNOW IF ANYONE WAS IN THE SAME POSITION AS ME AND IF ANY ONE HAS ANY IDEAS THAT COULD BE USE FULL.SRRY IF EV1 TOOK IT THE WRONG WAY BUT ITS MY FIRST TIME EVER POSTING TO A JOB LIKE THIS. > > SINCERLY > KEN MARTYN > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 22, 2009 Report Share Posted April 22, 2009 Hey Deb, I have just been referred to a pain management doc since my ortho spine spec is no longer taking Dept. of Labor workmans comp. I will have to find a new surgeon later if it should come to that again and no doubt it will. I am so frustrated going into this pain center from the get go and don't want these people to think they are dealing with a wacko but how do I address my issues with this new doc without overwhelming him with tons of details and needs? I am currently taking 2 Loritabs 7.5 per day and it just takes the edge off the pain but I don't want to be on alot of narcotics long term but am afraid to ask for anything different. I fear being treated like I'm just looking for the " dope " . I really don't want the added problem of addiction on top of all the other but what do you do? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 22, 2009 Report Share Posted April 22, 2009 Hey Deb, I have just been referred to a pain management doc since my ortho spine spec is no longer taking Dept. of Labor workmans comp. I will have to find a new surgeon later if it should come to that again and no doubt it will. I am so frustrated going into this pain center from the get go and don't want these people to think they are dealing with a wacko but how do I address my issues with this new doc without overwhelming him with tons of details and needs? I am currently taking 2 Loritabs 7.5 per day and it just takes the edge off the pain but I don't want to be on alot of narcotics long term but am afraid to ask for anything different. I fear being treated like I'm just looking for the " dope " . I really don't want the added problem of addiction on top of all the other but what do you do? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 23, 2009 Report Share Posted April 23, 2009 , First of all, RARELY do people who take narcotics for pain become psychologically addicted........the second question and a very good predictor of addictive personality is do you smoke...if so....be cautious. If not....you are probably safe......the problem you actually have now is that you don't require enough meds per day to go on a long acting med...the first thing would be for the doc to increase the dose of the med that you are on....right now you are on a baby dose....tell the doc that the two pills give you how many hours of relief.....tell him you have pain all day....if that is true.......talk to the doc....be honest,,.,.once you find adequate pain care whatever you do DO NOT VIOLATE THE NARCOTICS contract,,,, Deb RN From: neck pain [mailto:neck pain ] On Behalf Of Jim & Sent: Wednesday, April 22, 2009 7:35 PM neck pain Subject: Re: Re: TO ALL MEMBERS Hey Deb, I have just been referred to a pain management doc since my ortho spine spec is no longer taking Dept. of Labor workmans comp. I will have to find a new surgeon later if it should come to that again and no doubt it will. I am so frustrated going into this pain center from the get go and don't want these people to think they are dealing with a wacko but how do I address my issues with this new doc without overwhelming him with tons of details and needs? I am currently taking 2 Loritabs 7.5 per day and it just takes the edge off the pain but I don't want to be on alot of narcotics long term but am afraid to ask for anything different. I fear being treated like I'm just looking for the " dope " . I really don't want the added problem of addiction on top of all the other but what do you do? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 23, 2009 Report Share Posted April 23, 2009 Hi Deb, Thank you so very much for your input. Yes, I am a smoker and in my opinion tend to be addictive person by nature. I overeat, smoke, bite nails etc. However, I am not one to abuse medication and never have been. My father was an alcoholic and I used to love to drink but because of all the meds I'm on (high blood pressure, insulin, sugar pills, lyrica, etc.) I don't drink at all. I would enjoy an occasional margarita but don't because of the meds I'm on. So yes I worry about an additional problem. Not to mention I watch my mom who is on oxycontin and is 73 and is highly dependant and I see how it controls her life and her thinking. Even when she had surgeries that made her better she still wanted to take the meds. I'm 48 and don't want a life like that. I'm still dealing with all the mental stuff of realizing I have a new normal now and that my body and life will probably never be the same again. And it's a shitty reality at times, ya know? The meds I take now do not stop my pain. But they do take the edge off which keeps me from going insane. I would probably have to take4 or more per day to really help or go to something different that might help better. I can't take ultram especially the er or time released kind. It makes me feel like I have a serious stomach virus keeping me balled up in pain and sickness and feeling tight in my chest. Several of the time released meds do that to me. Don't know why. Maybe not as harsh as the ultram but the same freaky stuff. Are you aware of any drugs that would help nerve pain better than lyrica? I will be totally honest with the doc and I'm sure they are used to dealing with folks at the end of their ropes so maybe I won't make him think I'm nuts. What is a narcotics contract? I go on the 29th for my first visit. I'm in Alabama. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 24, 2009 Report Share Posted April 24, 2009 At 08:47 PM 4/23/2009, you wrote: > What is a narcotics contract? > It may vary from State to State or Doc to Doc but I had to sign one with my Doctor here in PA. It basically stated that I would not abuse the narcotics they gave me, I would not take more than the prescribed amount, not sell or give away any of my narcotics. I also must see my Doctor every three months for new scrips, and be willing to take a blood or urine level test for the amount of narcotics in my body. I'm not the abusive type and having seen some of the trouble people here have in getting the proper medication I'm so Thankful to my Doctor that I will never do anything to jeopardize his trust in me. In fact my biggest fear is what will happen when he retires. He owns the practice and told me that all the doctors under him will continue his recommendation if and when he retires. I drive 1 hour each way to see him, because he is such a good and caring physician. He always takes time to really visit with me, answer all my questions, and do what he can to relieve my pain. That's my experience with a Narcotics Contract. Dave Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 24, 2009 Report Share Posted April 24, 2009 , The current meds utilized to treat nerve pain are lyrica, neurontin, topamax, and several anti depressants. What works very well if you have insurance are lidoderm patches.....lidocaine is a topical anesthetic..depending on where the nerve pain is....they are effective used in COMBINATION with pain medicine. Pain medicine alone is not the best choice for nerve pain as the relief is subpar. With your family history and an addictive personality it would be of the utmost importance for you to be honest with the doc. It is not a reason to not Rx strong narcotics but it is a cause for tight control to watch for escalation of dose. Another helpful thing would probably be to treat the anxiety and the depression that goes along with any painful illness. Another excellent choice for nerve pain in the legs is a spinal cord stimulator BUT this is only appropriate in certain situations. A narcotics contract states drugs only from 1 pharmacy and only from 1 doctor period paragragph....that you will submit to random drug testing at any time requested by DR...the docs are looking to make sure that you test positive for the drug prescribed..for instance morphine....if you test negative..they assume that you are selling your drugs. If you at any time test positive for illicit drugs...bam you are done.......usually most docs will offer immediate detox and a one-2 week wean....once this happens that you have been fired by one PM doc...its almost impossible to find another doc to care for you.....hence the importance of not violating the narcotic contract, Also states that if your RX are lost or stolen....too bad so sad.......any violation of the contract and the DR fires you as a patient and you have no recourse. Most docs in the beginning can and do call and ask you to come into the office to do a pill count.....hence you should have the correct number of pills in the bottle if you are taking correctly.....too many break thru meds isn't a problem,,,,,too few is a violation of the contract and reason for dismissal from pain management. I have been on narcotics for 9 years....have never been asked to do a urine test....and have a great relationship with my doc....I ask for increases and decreases in my dose..... Deb RN From: neck pain [mailto:neck pain ] On Behalf Of Jim & Sent: Thursday, April 23, 2009 7:48 PM neck pain Subject: Re: Re: TO ALL MEMBERS Hi Deb, Thank you so very much for your input. Yes, I am a smoker and in my opinion tend to be addictive person by nature. I overeat, smoke, bite nails etc. However, I am not one to abuse medication and never have been. My father was an alcoholic and I used to love to drink but because of all the meds I'm on (high blood pressure, insulin, sugar pills, lyrica, etc.) I don't drink at all. I would enjoy an occasional margarita but don't because of the meds I'm on. So yes I worry about an additional problem. Not to mention I watch my mom who is on oxycontin and is 73 and is highly dependant and I see how it controls her life and her thinking. Even when she had surgeries that made her better she still wanted to take the meds. I'm 48 and don't want a life like that. I'm still dealing with all the mental stuff of realizing I have a new normal now and that my body and life will probably never be the same again. And it's a shitty reality at times, ya know? The meds I take now do not stop my pain. But they do take the edge off which keeps me from going insane. I would probably have to take4 or more per day to really help or go to something different that might help better. I can't take ultram especially the er or time released kind. It makes me feel like I have a serious stomach virus keeping me balled up in pain and sickness and feeling tight in my chest. Several of the time released meds do that to me. Don't know why. Maybe not as harsh as the ultram but the same freaky stuff. Are you aware of any drugs that would help nerve pain better than lyrica? I will be totally honest with the doc and I'm sure they are used to dealing with folks at the end of their ropes so maybe I won't make him think I'm nuts. What is a narcotics contract? I go on the 29th for my first visit. I'm in Alabama. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 24, 2009 Report Share Posted April 24, 2009 HI, MY NAME IS LORRIE AND I HAVE HAD NECK AND BACK PAIN SINCE AN AITO ACCIDENT 9 YEARS AGO. RECENTLY I AM DROPPING THINGS AND MY RIGHT SIDE HAS TERRIBLE CURRENTS OF PAIN RUNNING DOWN IT? WHAT CAN I DO TO HELP WITH THE PAIN AND REGAIN MY MOBILITY? From: Deb <i_ownaberner@...> Subject: RE: Re: TO ALL MEMBERS neck pain Date: Friday, April 24, 2009, 11:22 AM , The current meds utilized to treat nerve pain are lyrica, neurontin, topamax, and several anti depressants. What works very well if you have insurance are lidoderm patches.....lidocaine is a topical anesthetic..depending on where the nerve pain is....they are effective used in COMBINATION with pain medicine. Pain medicine alone is not the best choice for nerve pain as the relief is subpar. With your family history and an addictive personality it would be of the utmost importance for you to be honest with the doc. It is not a reason to not Rx strong narcotics but it is a cause for tight control to watch for escalation of dose. Another helpful thing would probably be to treat the anxiety and the depression that goes along with any painful illness. Another excellent choice for nerve pain in the legs is a spinal cord stimulator BUT this is only appropriate in certain situations. A narcotics contract states drugs only from 1 pharmacy and only from 1 doctor period paragragph....that you will submit to random drug testing at any time requested by DR...the docs are looking to make sure that you test positive for the drug prescribed..for instance morphine....if you test negative..they assume that you are selling your drugs. If you at any time test positive for illicit drugs...bam you are done.......usually most docs will offer immediate detox and a one-2 week wean....once this happens that you have been fired by one PM doc...its almost impossible to find another doc to care for you.....hence the importance of not violating the narcotic contract, Also states that if your RX are lost or stolen....too bad so sad.......any violation of the contract and the DR fires you as a patient and you have no recourse. Most docs in the beginning can and do call and ask you to come into the office to do a pill count.....hence you should have the correct number of pills in the bottle if you are taking correctly.....too many break thru meds isn't a problem,,,,,too few is a violation of the contract and reason for dismissal from pain management. I have been on narcotics for 9 years....have never been asked to do a urine test....and have a great relationship with my doc....I ask for increases and decreases in my dose..... Deb RN From: neck pain [mailto:neck pain ] On Behalf Of Jim & Sent: Thursday, April 23, 2009 7:48 PM neck pain Subject: Re: Re: TO ALL MEMBERS Hi Deb, Thank you so very much for your input. Yes, I am a smoker and in my opinion tend to be addictive person by nature. I overeat, smoke, bite nails etc. However, I am not one to abuse medication and never have been. My father was an alcoholic and I used to love to drink but because of all the meds I'm on (high blood pressure, insulin, sugar pills, lyrica, etc.) I don't drink at all. I would enjoy an occasional margarita but don't because of the meds I'm on. So yes I worry about an additional problem. Not to mention I watch my mom who is on oxycontin and is 73 and is highly dependant and I see how it controls her life and her thinking. Even when she had surgeries that made her better she still wanted to take the meds. I'm 48 and don't want a life like that. I'm still dealing with all the mental stuff of realizing I have a new normal now and that my body and life will probably never be the same again. And it's a shitty reality at times, ya know? The meds I take now do not stop my pain. But they do take the edge off which keeps me from going insane. I would probably have to take4 or more per day to really help or go to something different that might help better. I can't take ultram especially the er or time released kind. It makes me feel like I have a serious stomach virus keeping me balled up in pain and sickness and feeling tight in my chest. Several of the time released meds do that to me. Don't know why. Maybe not as harsh as the ultram but the same freaky stuff. Are you aware of any drugs that would help nerve pain better than lyrica? I will be totally honest with the doc and I'm sure they are used to dealing with folks at the end of their ropes so maybe I won't make him think I'm nuts. What is a narcotics contract? I go on the 29th for my first visit. I'm in Alabama. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 24, 2009 Report Share Posted April 24, 2009 Lorrie, A visit with a neuro surgeon and a MRI need to be done.....pain is byproduct of something going on...inappropriate to treat the pain and not find out the cause of the pain...so diagnosis first then treatment. Deb RN From: neck pain [mailto:neck pain ] On Behalf Of Lorrie Simpson Sent: Friday, April 24, 2009 11:23 AM neck pain Subject: RE: Re: TO ALL MEMBERS HI, MY NAME IS LORRIE AND I HAVE HAD NECK AND BACK PAIN SINCE AN AITO ACCIDENT 9 YEARS AGO. RECENTLY I AM DROPPING THINGS AND MY RIGHT SIDE HAS TERRIBLE CURRENTS OF PAIN RUNNING DOWN IT? WHAT CAN I DO TO HELP WITH THE PAIN AND REGAIN MY MOBILITY? From: Deb <i_ownaberner@... <mailto:i_ownaberner%40> > Subject: RE: Re: TO ALL MEMBERS neck pain <mailto:neck pain%40> Date: Friday, April 24, 2009, 11:22 AM , The current meds utilized to treat nerve pain are lyrica, neurontin, topamax, and several anti depressants. What works very well if you have insurance are lidoderm patches.....lidocaine is a topical anesthetic..depending on where the nerve pain is....they are effective used in COMBINATION with pain medicine. Pain medicine alone is not the best choice for nerve pain as the relief is subpar. With your family history and an addictive personality it would be of the utmost importance for you to be honest with the doc. It is not a reason to not Rx strong narcotics but it is a cause for tight control to watch for escalation of dose. Another helpful thing would probably be to treat the anxiety and the depression that goes along with any painful illness. Another excellent choice for nerve pain in the legs is a spinal cord stimulator BUT this is only appropriate in certain situations. A narcotics contract states drugs only from 1 pharmacy and only from 1 doctor period paragragph....that you will submit to random drug testing at any time requested by DR...the docs are looking to make sure that you test positive for the drug prescribed..for instance morphine....if you test negative..they assume that you are selling your drugs. If you at any time test positive for illicit drugs...bam you are done.......usually most docs will offer immediate detox and a one-2 week wean....once this happens that you have been fired by one PM doc...its almost impossible to find another doc to care for you.....hence the importance of not violating the narcotic contract, Also states that if your RX are lost or stolen....too bad so sad.......any violation of the contract and the DR fires you as a patient and you have no recourse. Most docs in the beginning can and do call and ask you to come into the office to do a pill count.....hence you should have the correct number of pills in the bottle if you are taking correctly.....too many break thru meds isn't a problem,,,,,too few is a violation of the contract and reason for dismissal from pain management. I have been on narcotics for 9 years....have never been asked to do a urine test....and have a great relationship with my doc....I ask for increases and decreases in my dose..... Deb RN From: neck pain <mailto:neck pain%40> [mailto:neck pain <mailto:neck pain%40> ] On Behalf Of Jim & Sent: Thursday, April 23, 2009 7:48 PM neck pain <mailto:neck pain%40> Subject: Re: Re: TO ALL MEMBERS Hi Deb, Thank you so very much for your input. Yes, I am a smoker and in my opinion tend to be addictive person by nature. I overeat, smoke, bite nails etc. However, I am not one to abuse medication and never have been. My father was an alcoholic and I used to love to drink but because of all the meds I'm on (high blood pressure, insulin, sugar pills, lyrica, etc.) I don't drink at all. I would enjoy an occasional margarita but don't because of the meds I'm on. So yes I worry about an additional problem. Not to mention I watch my mom who is on oxycontin and is 73 and is highly dependant and I see how it controls her life and her thinking. Even when she had surgeries that made her better she still wanted to take the meds. I'm 48 and don't want a life like that. I'm still dealing with all the mental stuff of realizing I have a new normal now and that my body and life will probably never be the same again. And it's a shitty reality at times, ya know? The meds I take now do not stop my pain. But they do take the edge off which keeps me from going insane. I would probably have to take4 or more per day to really help or go to something different that might help better. I can't take ultram especially the er or time released kind. It makes me feel like I have a serious stomach virus keeping me balled up in pain and sickness and feeling tight in my chest. Several of the time released meds do that to me. Don't know why. Maybe not as harsh as the ultram but the same freaky stuff. Are you aware of any drugs that would help nerve pain better than lyrica? I will be totally honest with the doc and I'm sure they are used to dealing with folks at the end of their ropes so maybe I won't make him think I'm nuts. What is a narcotics contract? I go on the 29th for my first visit. I'm in Alabama. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 24, 2009 Report Share Posted April 24, 2009 hi Deb, Well my problem is in the lumber region, where the vertibrea are badly corroded, I have a lot of pain in that area, also I have pain in my thigh, & calf muscles, in both legs, It feels like the are about to explode or under great pressure, they ache, this must be caused from trapped nerves in my back, Do you think accupunture, would do anything to relieve the pain, ive tried several meds, but they dont help, living in Thailand and they have strict laws on codine or other opiate based drugs, have a nice day From: Deb <i_ownaberner@...> Subject: RE: Re: TO ALL MEMBERS neck pain Date: Friday, 24 April, 2009, 4:22 PM , The current meds utilized to treat nerve pain are lyrica, neurontin, topamax, and several anti depressants. What works very well if you have insurance are lidoderm patches..... lidocaine is a topical anesthetic.. depending on where the nerve pain is....they are effective used in COMBINATION with pain medicine. Pain medicine alone is not the best choice for nerve pain as the relief is subpar. With your family history and an addictive personality it would be of the utmost importance for you to be honest with the doc. It is not a reason to not Rx strong narcotics but it is a cause for tight control to watch for escalation of dose. Another helpful thing would probably be to treat the anxiety and the depression that goes along with any painful illness. Another excellent choice for nerve pain in the legs is a spinal cord stimulator BUT this is only appropriate in certain situations. A narcotics contract states drugs only from 1 pharmacy and only from 1 doctor period paragragph.. ..that you will submit to random drug testing at any time requested by DR...the docs are looking to make sure that you test positive for the drug prescribed.. for instance morphine.... if you test negative..they assume that you are selling your drugs. If you at any time test positive for illicit drugs...bam you are done.......usually most docs will offer immediate detox and a one-2 week wean....once this happens that you have been fired by one PM doc...its almost impossible to find another doc to care for you.....hence the importance of not violating the narcotic contract, Also states that if your RX are lost or stolen....too bad so sad.......any violation of the contract and the DR fires you as a patient and you have no recourse. Most docs in the beginning can and do call and ask you to come into the office to do a pill count.....hence you should have the correct number of pills in the bottle if you are taking correctly... ..too many break thru meds isn't a problem,,,,, too few is a violation of the contract and reason for dismissal from pain management. I have been on narcotics for 9 years....have never been asked to do a urine test....and have a great relationship with my doc....I ask for increases and decreases in my dose..... Deb RN From: PainInTheNeck- Back@groups .com [mailto:PainInTheNeck- Back@groups .com] On Behalf Of Jim & Sent: Thursday, April 23, 2009 7:48 PM PainInTheNeck- Back@groups .com Subject: Re: [PainInTheNeck- Back] Re: TO ALL MEMBERS Hi Deb, Thank you so very much for your input. Yes, I am a smoker and in my opinion tend to be addictive person by nature. I overeat, smoke, bite nails etc. However, I am not one to abuse medication and never have been. My father was an alcoholic and I used to love to drink but because of all the meds I'm on (high blood pressure, insulin, sugar pills, lyrica, etc.) I don't drink at all. I would enjoy an occasional margarita but don't because of the meds I'm on. So yes I worry about an additional problem. Not to mention I watch my mom who is on oxycontin and is 73 and is highly dependant and I see how it controls her life and her thinking. Even when she had surgeries that made her better she still wanted to take the meds. I'm 48 and don't want a life like that. I'm still dealing with all the mental stuff of realizing I have a new normal now and that my body and life will probably never be the same again. And it's a shitty reality at times, ya know? The meds I take now do not stop my pain. But they do take the edge off which keeps me from going insane. I would probably have to take4 or more per day to really help or go to something different that might help better. I can't take ultram especially the er or time released kind. It makes me feel like I have a serious stomach virus keeping me balled up in pain and sickness and feeling tight in my chest. Several of the time released meds do that to me. Don't know why. Maybe not as harsh as the ultram but the same freaky stuff. Are you aware of any drugs that would help nerve pain better than lyrica? I will be totally honest with the doc and I'm sure they are used to dealing with folks at the end of their ropes so maybe I won't make him think I'm nuts. What is a narcotics contract? I go on the 29th for my first visit. I'm in Alabama. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 22, 2011 Report Share Posted February 22, 2011 Hi Everybody I hate playing cop but...... group has ONE RULE. - NO FIGHTING....ever.... peroid. This means no judging another persons protocal with disrespect, or being ugli to any other member, in any way. Basically - BE NICE at all times. We are not little children having a spat - we are adults, and we are expected to act like it. The reason for this ONE RULE is simple - there are sick people reading these posts, and they dont need the upset. If YOU are ugli to someone else, YOU WILL be put on moderation, and your future posts will have to be approved, before going to the forum. No more freedom of speech and interacting without someone looking over your shoulder. If YOU continue to be ugli even on moderation, you will be blocked from posting any at all. If you have a problem with another member, please do not post publically. Email me [don in ks], or Teri, Gloria, or Steve privately. We moderate the group, and we will take steps to help everyone be happy again, or find a solution. If someone is being ugli to another member, and your NOT involved - please stay un-involved. We dont need a bunch of people throwing their 2 cents into the fire, possibly making the problem worse. Please let us mods handle it. We have a good group here folks - and can discuss pretty much anything. Lets keep it that way please, so we can all benefit. Please? love don in ks Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 6, 2011 Report Share Posted July 6, 2011 I agree too with Sally and Sheila I would add that I think Sally is already a very active member of the forum, with very useful and supportive contributions chris = > Actually, I completely agree with Sally > Hi Sally, > > Sorry to hear you find it difficult to cope with our forum and I do hope you > persevere and do become an active member. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 6, 2011 Report Share Posted July 6, 2011 xx Hi Sally, Sorry to hear you find it difficult to cope with our forum and I do hope you persevere and do become an active member. We are in the process of trying to update our website and with it the forum, but as you say this takes money, but also there are so many things we have to do that it just takes time too. We have to find the right person to do this as well. Stay with us and eventually things will improve. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 6, 2011 Report Share Posted July 6, 2011 Thank you Chris. that is kind of you. xx I agree too with Sally and SheilaI would add that I think Sally is already a very active member of the forum, with very useful and supportive contributions chris Reply to sender | Reply to group | Reply via web post | Start a New Topic Messages in this topic (6) Recent Activity: New Members 39 New Links 2 New Files 1 Visit Your Group TPA is not medically qualified. Consult with a qualified medical practitioner before changing medication. MARKETPLACE Stay on top of your group activity without leaving the page you're on - Get the Toolbar now. Switch to: Text-Only, Daily Digest • Unsubscribe • Terms of Use .. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 6, 2011 Report Share Posted July 6, 2011 I think Sally has a point. Someone who was in real trouble contacted me through FB some time ago having posted on here for the first time adfeeling that she had been seriously told off for posting results without ranges. OK, maybe she was a little touchy, as she was swinging between hyper and hypo at the time and her GP would not take her seriously, but I am sure she is not the only one. My problem is that half the messages go into my spam folder, where my options for dealing with them are strictly limited. D >I dont find your system particularly user friendly and I keep > getting told off for not doing this or not doing that etc., which puts me off > replying at all. > Â > sally xx Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 6, 2011 Report Share Posted July 6, 2011 I think it's much easier to use the web interface - i know not everyone likes to do this (i don't know why that is to be honest), but it pretty much eliminates the need to snip messages due to the way the messages are grouped together. chris > > I think Sally has a point. Someone who was in real trouble contacted me through FB some time ago having posted on here for the first time adfeeling that she had been seriously told off for posting results without ranges. OK, maybe she was a little touchy, as she was swinging between hyper and hypo at the time and her GP would not take her seriously, but I am sure she is not the only one. > Quote Link to comment Share on other sites More sharing options...
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