help with doctor and meds

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shaw31
Regular Member


Date Joined Mar 2007
Total Posts : 161
   Posted 9/18/2008 9:54 AM (GMT -7)   
I am having some trouble with my doc.  i need help please.  I moved to fl from ga.  I had a great doc in ga.  The doc i have in fl is ok but he always avoids talking about my medicine.  I have always been an upfront patient.  I always follow my  prescription instructions  and have never called for early refills.  All my labs and urines have come back the way they are supposed to.  To make a long story short i am a proper "pain management" patient.  I am on oxycontin 40mg now with 15mg oxcodone for breakthrough pain 3xday as needed.  I have been on this now for 9 months.  I have noticed my pain levels have increased.  The medicine is not relieving the pain like it used to or my disease is progressing.  I do not want to be a patient in the future who is taking loads of narcotics as i am already taking a moderate amount.  I understand how the body works.  You need your does adjusted to continue the same pain relieving effects.  Problem is when i talk about this my doc avoids the subject.  I am not trying to get more medicine for the hell of it.  I actually have noticed my pain levels are increasing and the meds are not working as well.  My doc has mentioned a patch and methodone (just mentioned).  I do not want to be on either of these.  I have heard horrible stories of both.  Oxycodone has been the best for me.  It works great.  As i mentioned earlier my doc in ga would listen and adjust accordingly.  My doc here does not want to hear it.  How do i get him to listen?  I am very honest and am not afraid to discuss my medication with him.  I just dont think he is hearing it.  I need some help.   Can someone please advise me on the best way to approach this.  He is also not the most personable man.  He is just ok but his raport is average.  I am also thinking about changing doctors and would like to get information and opinions on that subject.  I want a doctor that is closer (miles) to me and one who has a better raport with patients.  How do i find a good doctor?  New doctors really check their patients history well and i completley understand and welcome that.  My history is great.  I just want a doc with a personality and one that is not affraid to talk openely and honestly about medication.  I want a PM doc that gets to know me, starts developing a relationship with me like the doc I had in GA.  How do I go about finding a new doc ? Does anyone know?  Also does anyone know of a good i mean great PM doc in the Orlando, FL area????  All of your help would be greatly appreciated.    P.S.  does anyone know of a site that recommends doctors?  Maybe a site that rates doctors and gives patient feedback on them?  Thanks

Morgoth
Regular Member


Date Joined May 2008
Total Posts : 177
   Posted 9/18/2008 10:07 AM (GMT -7)   
OK, as you said, a person gets used to meds and diseases often progress. I guess your doc is looking into the future and wants to prevent you from turning into a zombie or having to go through detox in 10 years. You simply can't keep on increasing meds for the rest of your life unless you want the zombie or detox thingie. I suppose your doc wants you to learn to life with the pain, doctors are often afraid to mention this to patients as most patients can't imagine a life with increasing pain levels. I can check with a friend of mine who used to life in Orlando, though I don't know whether he had a specific PM doc there (was in a lot of pain though). BTW, I went through detox several times and had serious zombie periods (which was alas a medical requirement); now I'm trying to keep to dosages as low as possible. You can really more or less learl to life with the pain, most people on this forum had to learn this. Welcome to the Dark Side and have a free cookie.
To stand and be still at the Birkenhead Drill is a mighty bullet to shew.


shaw31
Regular Member


Date Joined Mar 2007
Total Posts : 161
   Posted 9/18/2008 10:51 AM (GMT -7)   
thank you but i think you might not have understood me good.  I am not looking for more medicine.  I dont want to be a zombie.  I just want my doc to address the issue and listen and respond.  If the current meds i am on now are not working can we maybe try something else?  i just want him to communicate with me.  I am not looking for more medicine i am just looking for some suggestions from him

Pamela Neckpain
Veteran Member


Date Joined May 2008
Total Posts : 1821
   Posted 9/18/2008 10:53 AM (GMT -7)   
"Welcome to the Dark Side and have a free cookie". Morgoth


First time I smiled today. (You wrote that a long time ago!)

PN turn turn turn

Morgoth
Regular Member


Date Joined May 2008
Total Posts : 177
   Posted 9/18/2008 6:17 PM (GMT -7)   
Shaw, give the man a chance, it takes time, often years to seriously figure out a patient, he's get several. More to the point, do you trust him? You need a doctor you trust and then any differences of opinion can be discussed later. Changing doctors too often almost always has a negative effect as you have to start all over again gaining their thrust. Some docs are communicative, others are not; one of mine is only communicative when we're discussing socker or sexual jokes. They are all human. I sugest to be a bit patients.

I have been on Opium Derivatives for 23 years now, I know alas a bit of what I'm talking about.

Keep up the Great Smile ANyway.
To stand and be still at the Birkenhead Drill is a mighty bullet to shew.


Boxerlover
Regular Member


Date Joined Dec 2006
Total Posts : 274
   Posted 9/18/2008 7:55 PM (GMT -7)   

Just because you increase medication does not necessarily mean you are headed to zombie land.  In fact most narcotics are safe and really do not have a ceilling, you can increase until side effects become not worth.  Yes, being a zombie can be a side effect, but of meds are titrated properly, side-effects like that can be avioded.  Now I am not saying loading up on meds is the way to go, but in addition with other things, increasing the dosage should not be automatically discounted.

Shaw, I am near Tampa, and I actually travel about an hour to my pain doc. I think someone posted about a doc in the Orlando area, but I don't think I've seen them on here in a while. I've also heard that pain.com is a good resourse. Once you got to the site on the top click on consumers and then pain clinics, put in florida and then scroll till you get to Orlando.  At least it's a start.  My doc was referred to me, but he is also listed there.

Good Luck!

Melissa


shaw31
Regular Member


Date Joined Mar 2007
Total Posts : 161
   Posted 9/19/2008 9:30 PM (GMT -7)   
Hey thanks Morgoth and Boxerlover!  I really do apprciate all of your feedback.  I honestly do think my current doc is a good man who just needs some personality lessons.  I have always been a bit of a social person and I think everyone else should be the same but they are not (its not in their blood).  I think maybe I will give him a chance.  Maybe it will take some time.  After all he is keeping me out of about 60% of the pain I once was in.  Also he orders all kinds of tests and has done several injections.  Now some may say he has done this to make money but I do believe he is doing it to find out whats going on.  I think the real problem is that the doctor that I had in GA might be one of those docs that is an exeption to all.  He was amazing, incredible, and just listened to all I had to say no matter how long it took.  I think once you have had a doc like that it is hard to find another.  You base and compare any doctor you have had to him.  Anyway I thank you all for your feedback and encouragement and by all means lets keep this thread going........I am sure I am not the only person here who has issues with there PM doc.  If you do not have issures with your PM doc you must have a doc like my previous one is GA (GOD I MISS HIM SOOOOOOO MUCH)!

Piercings
Regular Member


Date Joined Aug 2008
Total Posts : 326
   Posted 9/21/2008 4:50 AM (GMT -7)   
I have a good PM doc but like yours, he has the personality of a wet brick. He does listen, he does respond to ideas, but as far as any 'bedside manner'...he has none. I'll admit that yes, my ideal doc would be one that not only have the attention to detail that this one has, but would also have an extrovert personality.

Whenever I walk out of his office, I always have to ask myself..."Would you rather have a funny crappy doctor? Or a boring thorough one?" The answer always comes back to the boring thorough one.

steelchick
New Member


Date Joined Oct 2006
Total Posts : 4
   Posted 9/22/2008 10:36 AM (GMT -7)   
Hi. One thing I tried is a "holiday" Im on methadone 40mg, 15mg oxy. for breakthrough and ritalin 20 x 3 for energy. Yes I have a good doc. But if you switch to , say , the fentynal patch for 1 month then resume I found the meds, mostly methadone, were more efficient than before. I have severe RA. Another perk for prednisone users. I got totally off the pred for 1 year now. I dropped 10 lbs for nothing (im 46) Im now 50 lbs lower because I am finally over it. I was on 5 mg for 8 years.
May the force be with you

Steelchick

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