Info on American approach to pain treatment

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Bob1344
Regular Member


Date Joined Mar 2006
Total Posts : 61
   Posted 2/20/2008 11:45 AM (GMT -7)   
 
Hello Everyone:
I sincerely hope all are  doing as well as can be Iam seriously in some need on the approach and how Doctor's in America treat pain with Opiod medication's
Currently I live in Canada, in Ontario actually I am being perscribed Oxycontin 40mg 3x day and max. of 3 Oxy IR 20 mg for breakthrough and have my Chronic low spine pain controlled very well with these med's
My question I really need help with is I'am going to be moving to the United Syaye's of America and will need med's to be perscribed their I have full documentation medically of my pain and cause.
Please can anyone who now's and is American tell me the state's and doctor's that practice their and are willing to perscribe narcotic pain medication as I take now or any states that agree with Dr's perscribing these med's
I believe I herd that some State's and Dr's their do not or very little perscribe these drug's one I think was Florida I may be wrong
if any State's or Dr's that feel appropriate treatment include's medcation's that would be the state I would decide to go their
 
Any help or information given to my I would greatly appreciate. This to me is another big problem having Chronic Pain a nd taking pain med's for it you do not really have freedom to go or move where one want's due to the fact I'am tied to a Doctor or area in the world that agree's with perscribing these med's
Any help or information with this would be greatly appreciate
Thank's
Bob
 

TexasJen
Veteran Member


Date Joined Dec 2006
Total Posts : 649
   Posted 2/20/2008 12:17 PM (GMT -7)   
You are correct that oxycontin has a bad reputation in the US thanks to the people who abuse it. The press here has had a field day covering overdose cases and now the DEA is cracking down on the only people they can track: doctors and patients who use it responsibly. While it's true that many doctors refuse to prescribe oxycontin because of the backlash, some of them do. You just won't find that fact advertised in a clinic window.

Where will you be moving in the US? If your destination is a major metropolitan area, you will obviously have better luck finding the care you need simply because there are more doctors from whom to choose. I think your best bet is to enlist your current doctor's help for a referral. If you waltz into any US pain doc's office saying, "My last doc gave me X-dose of oxycontin and I want the same thing" you'll be labeled a drug seeker and escorted out of the office with the suggestion of going to rehab instead. In addition to asking your current doc for a referral, ask him if he can write you a larger supply of meds to last you long enough to find a new doctor.

You're right that patients who need opiate therapy for pain lose some freedom, and it's not just oxy patients. We're all stuck with constant doctor's appointments, planning our days around meds, worrying about meds, worrying about pain, well... you already know all that. I just don't have a solution because there really isn't one. My husband and I have always wanted to move to a rural area, but we're stuck because of my health issues. Just a fact of life.
Living in the Republic of Texas minus a gallbladder, a couple of cervical discs, appendix, uterus, and 18" of colon; but still alive and living with my husband, 2 dogs, 1 cockatiel, 1 quaker parrot and 2 gold fish. 


Bob1344
Regular Member


Date Joined Mar 2006
Total Posts : 61
   Posted 2/20/2008 3:32 PM (GMT -7)   

 

Thank's for the reply:

This for me and other's is a real problem I mean even here it is difficult to find a Dr who will perscribe these types of med's and it ties me to a particular area and a certain Dr. I have already lost 2 Dr that treated me one moved and one lost his ability to perscribe pain med's the one I have now will retire very soon then what.I have had to turn down job's in different area's and in the U'S' cause you are right I can not just walk in off the street of a country I am not even a citizen of and plead to have my med's continued or to have something else given in place of them I don't really know what the law here allows for a Dr. to RX  a large amount of Rx I believe it is only a month and that is if he agrees to give me that amount.

If I don't receive any information to help me with this I really don't know what I will do as I am going to the State's no matter what the only other thing I can think of is make a short trip down their and see some Dr's and see what they say, a bad perdicament to be in it really is.


Mochiah
Regular Member


Date Joined Dec 2007
Total Posts : 450
   Posted 2/20/2008 4:40 PM (GMT -7)   
Do you know what area you are interested in moving? That would help narrow your search for a doctor.
Mochiah/a.k.a. Sue
cervical fusion 2006
L4-5 surgery with cages, plates, and screws in 2005
MEDS:  Fentanyl patch, Norco, Celexa, trazodone, and baclofen
 
To handle yourself, use your head...to handle others, use your heart
 
I'm going to smile like nothing is wrong, act like everything is perfect, and pretend its not hurting me.


TDoern
Regular Member


Date Joined Jul 2006
Total Posts : 495
   Posted 2/20/2008 5:08 PM (GMT -7)   
If I were you I would call your insurance company - find out a doctor they can get you in touch with - and call them. OR ask your doctor to call them specifically.

Make sure that you have full documentation from your doctor, about failed methods and such. Your current doctor calling would probably be very beneficial. That way he can discuss the treatment you are on with the new doctor.

My understanding is that pain meds are much harder to get here in the states than in canada. I a friend with chronic back problems in canada who doesn't have to go through nearly as much crap as me to get medication to help with his pain.

Good luck!
"When we come to the edge of the light we know, and are about to step off into the darkness of the unknown, of one thing we can be sure; either God will provide something solid to stand on... or we will be taught to fly.'"

"Cause when push comes to shove You taste what you're made of, You might bend, till you break Cause its all you can take; On your knees you look up Decide you've had enough, You get mad you get strong Wipe your hands shake it off, Then you Stand" From "Stand" by Rascal Flatts
_____________________________________________________________________________
Dx.: Polycystic Ovarian Syndrome, Ulcerlative Colitis, Chronic Inflammation of the Colon, Ruptured & Fused L4-L5-S1 w/pinched nerves, Degenerative Disc Disease, Chronic Costochondritis, Back Muscle Spasms, Asthma, Benign Tremmors (hands)


Mochiah
Regular Member


Date Joined Dec 2007
Total Posts : 450
   Posted 2/20/2008 7:39 PM (GMT -7)   
TDoern, that is an excellent idea!!
Mochiah/a.k.a. Sue
cervical fusion 2006
L4-5 surgery with cages, plates, and screws in 2005
MEDS:  Fentanyl patch, Norco, Celexa, trazodone, and baclofen
 
To handle yourself, use your head...to handle others, use your heart
 
I'm going to smile like nothing is wrong, act like everything is perfect, and pretend its not hurting me.


TDoern
Regular Member


Date Joined Jul 2006
Total Posts : 495
   Posted 2/21/2008 9:19 AM (GMT -7)   
Bob - sorry just read your other post. Making a short trip down here to visit a few doctors is a BAD idea. I know it would seem a good idea in theory, BUT the problem is if you go to each of these doctors and mention pain, and you are trying to get mediations for it, even if you don't get a script from them, it could label you a "drug seeker". I wish life here weren't that way - but it is - so be careful if you do that.

tammy
"When we come to the edge of the light we know, and are about to step off into the darkness of the unknown, of one thing we can be sure; either God will provide something solid to stand on... or we will be taught to fly.'"

"Cause when push comes to shove You taste what you're made of, You might bend, till you break Cause its all you can take; On your knees you look up Decide you've had enough, You get mad you get strong Wipe your hands shake it off, Then you Stand" From "Stand" by Rascal Flatts
_____________________________________________________________________________
Dx.: Polycystic Ovarian Syndrome, Ulcerlative Colitis, Chronic Inflammation of the Colon, Ruptured & Fused L4-L5-S1 w/pinched nerves, Degenerative Disc Disease, Chronic Costochondritis, Back Muscle Spasms, Asthma, Benign Tremmors (hands)


Bob1344
Regular Member


Date Joined Mar 2006
Total Posts : 61
   Posted 2/21/2008 5:31 PM (GMT -7)   

 

Thank's to everyone has replyed knowing this I agree going down to visite some doctor's to see what they say about my med's is a very bad they would really label me or people a drugseeker even if I have good documention medically to prove my need and I bring the bottles and medication I take is in them

That to me is very terrible and on the verge of medical unprofessionalism so it would be the Dr's themselves who would label me a drugseeker what do they do entermy name and label in some sorta database so any Dr' anywhere in ths U;S could look up my name in this databasse and read that label if that is the case I would not be able to go anywhere in the U'S or see any Dr cause I have been labeled this drugseeker that's unfare wrong and make's very angry and being labeled this drugseeker I could never get any type of pain med anywhere even if I prove I legitimatly need WOW what a surprise

Thank's for the head's up and help I cann't believe that man we are forced to live a miserable life not only are we disabled and sick we can not receive the med's we need for a semblence of a fuctional life due to Goverment etc and we and I reap the conciquences cause addict's abuse the med's that give us life terrible and shame on some of these Doctor's


Mochiah
Regular Member


Date Joined Dec 2007
Total Posts : 450
   Posted 2/21/2008 6:11 PM (GMT -7)   
Bob, it isn't so much a national database, but they would put it in your medical record, so any doctor you went to who requested a copy of your record would see it. They would also likely notify the local hospital emergency rooms who would put it in their computer for all ER physicians to see to not give you narcotics unless it were a life-or-death or loss-of-limb emergency true emergency. Meaning, you can't go in with a migraine and expect some meds. You couldn't go in with back pain, or abdominal pain and receive meds....Unless they found something like a kidney stone on your tests. Basically, they would be extra careful about giving you medications unless they had a way to document exactly what is causing it.

Yup, that's our government working on the "war on drugs." The chronic pain patients are the ones paying for the drug abuse in this country.

Edited to add:  Unfortunately, this also means that many of our veterans who have gone to war defending our country are now being abused by the government they defended with their lives. nono


Mochiah/a.k.a. Sue
cervical fusion 2006
L4-5 surgery with cages, plates, and screws in 2005
MEDS:  Fentanyl patch, Norco, Celexa, trazodone, and baclofen
 
To handle yourself, use your head...to handle others, use your heart
 
I'm going to smile like nothing is wrong, act like everything is perfect, and pretend its not hurting me.


notnu2cp
Regular Member


Date Joined Feb 2008
Total Posts : 138
   Posted 2/22/2008 12:46 AM (GMT -7)   

What a dilema huh? Sad to say it happens so many times,people have to move for whatever reson and losing their Docs and taking months even years to find another willing to treat them without going back to square one and all an all else failing time before being given what you had already been taking there.

As for which states and it seems from your post your kind of opent o where you might be headed here in the US, I cant say specifics but it can be narrowed some like already said larger metro areas may be better but in reality try to avoid the South and especially the Appalacian regions and mountain towns they tend to have a much much higher incidence of abuse and alot tighter reins on prescribing. Like you said Florida is noted as one of the hardest to obtain good PM care as well as Kentucky,Tenn.

Oxy has just been given a bad rap in those places due to higher accidental overdose deaths and abuse rates pertaining to specifically Oxy and its counterparts. Methadone is now fast advancing on those stats though.

I know you hate the thought of changing something that works but if your serious as to the move it might be necessary to do just that and it isnt fair by any means.

One thing you can do is when you find out where you might be going you can go online and get a list of Docs in that area who treat pain agressively without alot of jumping thru hoops and a real nice fellow use to have a real nice website dedicated to just that The Compassionate Docs" but he was harrassed so much by the ever watchful eyes of the DEA he had to go underground and take down his site.

Also posting to others in that area via places like this and I imagine most boards are not going to allow it via open forum but email or Pming may get you the name and address of a few good Docs from patients that go there and know them. I wouldnt expect a referral from anyone but alot of folks dont have a problem handing you a name.

I made a move from the west to the south a few years back and had to fly back to the old Doc for a few months to get my meds before I found one in my are of the South who was willing to treat me with what I already knew to work well for me and that wasnt without alot of documentation and a referral letter from my previous Doc. Just make sure if you do this and after going back and getting meds and obtaining a new Doc you make darn sure you let the new one know you have meds from the old one and when they run out then start the new ones so you dont chance being listed as Doc shopping.

Most states if not all here in the states have a tracking system in place that alerts Docs and RPHs when you obtain and fill a schedule med and although it isnt public here in my current state all law individuals as well as medical person can and do request inof from the system from time to time and most pharmacies here are designed to spit out an alert if you fill more then the required amount from more then your usual prescribing Doc.

I dont know how tight regulations are in Canada but here be prepared to drug test either monthly or randomly as choosen by your treating Doc and to sign a PM contract stating you will not get meds from anywhere else or take meds not prescribed by them without 1st checking with them and this even means dentists,ER Docs and what have you"s as some of the contracts are really strict.

I hope whatever happens you have a stroke of luck and find a good Doc prior to your move and have everything in place so you do not have to be untreated or undertreated. Good Luck to you!


2 knee replacements & a hip.
spondylosis at L-4,5 & S1
arthritis,sciatica all that being a CPer entails!
 
If you stumble make it part of the dance!

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