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Dear :

I felt so bad for you when I read your message. I really can't advise you

on the law suit, but just to encourage you to pursue a different doctor.

And maybe a pain specialist is what you need. I saw one for the past two

years, who basically gave me the bare minimum to get me by. He felt if my

pain level was at a 3-4 that I was lucky, and should just learn to live with

the pain. He was giving me 20 mgs. oxycodone three times a day. It wasn't

nearly helping my pain, and so I would run short. I would get lectured, as

well as putting me on weekly prescriptions, which was pretty embarrassing to

have to come in the office every week, like I wasn't capable of taking them

as prescribed. If I had something that worked, I wouldn't have any problem.

When I ended up in the hospital, they suggested the oxycontin, which worked

much better, right away. They suggested I take 20 mg. Oxycontin 2 times a

day with oxycodone for breakthrough. This worked for a while, but like you

said I seem to get very tolerant very quickly. I had an ERCP in June, and

also suffered a perforation in my duodenum (sp?), which was very, very

painful. I left s Hopkins with prescriptions for 80 mgs. Oxycontin 3

times a day, with oxycodone for breakthrough. I was finally very

comfortable. I changed pain specialist, and found one that I have to drive

45 minutes one way to see, but he is well worth it. He is very

understanding, and I'm so sorry I waited so long to change. I had a bad

attack last week, and used a couple extra breakthroughs, and instead of

lecturing me he changed to give me something new called Actiq lozenges. The

pharmacy had to order it, so I haven't tried it yet, but coincidentally

someone from PAI had suggested that.

It's so easy to have self doubt, when you have doctors telling you these

things. So now I will try not to have self doubt and change doctors if I am

not being treated with the compassion and respect that I deserve, and that

you deserve too!

Hang in there...have a great vacation.

Robin R.

Sr. Production Planning Specialist

* (ext. 102)

* (fax)

robin.cox@...

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