Advice about my doctor!

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garnetstar
Regular Member


Date Joined Oct 2008
Total Posts : 27
   Posted 12/28/2008 11:34 PM (GMT -7)   
So, I finally saw my doctor about all the fatigue and pain I've been having. I told her about the fatigue, and she said that she would give me Ambien, but to only take it "when I need it", which I agreed to, but realized when I got home, that I would basically need to take it everyday to get rested sleep. She only gave me 15 pills, and she says that she doesn't want me to get hooked on it. At this point, I couldn't care less if I got hooked, as long as it helps me sleep. After I addressed the sleep issue, I brought up the pain. She automatically told me to try asprin, and when I told her that I had tried that already and that it didn't really help, she said, "well, I don't really want to give you opiates because I want to use that as a last resort." ***? I didn't even bring up opiates! I calmly asked her about Neurontin, and she told me that since I was on elavil, I couldn't take them both at the same time. Now, I know a few people that are on it at the same time. So basically after the appointment, all I got to treat my symptoms was the Ambien (15 pills), something for my stomach acid thing, a refill of elavil, a referral to the sleep study clinic, and a referral to the physical therapist. Does this all sound right to you guys, or a little fishy. I still have nothing for the pain, and the Ambien I can't use every day, so what's the point? Any advice would be helpful, thanks!

donnaeil
Veteran Member


Date Joined Jun 2006
Total Posts : 1156
   Posted 12/28/2008 11:41 PM (GMT -7)   
Ambien only? Ummmm, not enough.

Why do doctors do this. It is irresponsible. I am so sorry this happened. A sleep study is a great idea. You can tell the doctor you need something every night.

Donnaeil

Sera Smiles
Veteran Member


Date Joined Nov 2006
Total Posts : 671
   Posted 12/29/2008 1:54 AM (GMT -7)   
Hi! Let me give you a little perspective from my experience. First and foremost, what you were told and given is not the last information or prescriptions you will receive while you are learning to adapt. The 15 ambien is a way to help you find some sleep relief without giving you lots of meds you may not need. Ambien may not work for you as well as you need it to, so this way you have not invested lots of money on a med that is untested on you. This is not a drive-through, 'doc in a box' health challenge. You need time to cultivate a working relationship with your health provider. You have a question, a pain or symptom; your doc offers you information, a referral, a prescription. Next, you report to the doc how that new treatment worked. Give and take, questions and answers- this is the main road you are on for relief of short term pain; regaining long term strength; and learning ways to combat pain and symptoms later down the road. Think of your FM as a series of independent issues that are connected, like a recipe. When you put a recipe together, you deal with individual components, one at a time, to make an entire dish. Your doc is looking at each component of your FM and attempting to correct each symptom so that you feel better all over. Take advantage of the referrals and keep your chin up. It sounds to me that you are on your way to feeling better and working with a doc who cares about you- ALL of you. Keep us posted on how you are doing.
 "It's never too late to be who you might have been"  George Eliot
 
Dx FM- 2003
Rx Meds- Ultram, Buspar, Flexeril, Toprol, Cymbalta,
OTC meds- Benadryl, Claritin, Melatonin, Valerian, B Complex, Multi Vitamin
 
 


Marlee2
Veteran Member


Date Joined Aug 2007
Total Posts : 6067
   Posted 12/29/2008 9:52 AM (GMT -7)   
Want to hear something almost funny??? My GP refuses to give me any narcotics for fibro, I've had some bad reactions and as long as I can get by without them that's fine. Christmas Eve I ended up in the ER for the rib I hurt when my family was here for Christmas the weekend before. I was having horrible muscle spasms all day that just wouldn't quit. He had no problem giving me a demerol shot for that and he gave me a rx for vicodon which I have never taken before so I haven't gotten it filled. The shot of demerol didn't do anything but make me sleepy, it didn't help the pain. I didn't think about it til later that going to the ER for a non fibro problem, although I'm not sure fibro didn't have something to do with the muscle spasms, I got meds for pain relief. I understand his thoughts on narcotics and how they do lose their benefits when taken all the time but I've never asked for anything to take daily just when I can't take the pain during a flare. So I think I might get the vicodon filled to have on hand and see if they do help when I'm in really bad pain. Then I will I will tell him whether it helps or not. It's not that I think my doc wants me to suffer with fibro I think many have been taught that narcotics does not help with fibro. It's up to us I guess to educate our docs in fibro.
 
I hope you can have a working relationship with your doc.
 
luv and hugs
Marlee
Forum Moderator Fibromyalgia
 
Fibro,Sjogrens, Anxiety, Gastroparesis, IBS, Gastritis, Allergies, High Blood Pressure, Low Blood Sodium and Osteoarthritis
 
Amitriptyline, Celexa, Xanax, Synthroid, Zyrtec, Micardis, Spironalactone, Tylenol, Reglan, Lidoderm Patches and Tramadol
 
Co Q 10, Super B Complex, Extra B12, Multi vitamin


Sherrine
Forum Moderator


Date Joined Apr 2005
Total Posts : 17101
   Posted 12/29/2008 12:06 PM (GMT -7)   
Actually, I think she was being responsible.  So many doctors hand out prescriptions like they were candy pills.  Too many people are taking too much stuff that will affect them down the road.
 
For pain, NSAIDS like aspirin, ibuprofen, etc. are sometimes used.  I know that ibuprofen has been my greatest help with fibro.  I also take malic acid/magnesium supplements that have helped me.  My doctor doesn't want to prescribe narcotics because they can lose their effect and you need more and more.  I do understand that.  But, like Marlee's doctor, mine gave me a prescription for Vicodin.  It's my safety blanket!  LOL  I've had this prescription for several years but have never taken one.  I try to work through the pain instead.  It's just comforting knowing I DO have something if I get absolutely desperate.
 
I feel like a broken record here, but you do need to keep moving and stretching and doing gentle exercises like walking, etc.  It's too tempting to sit or lay a lot.  You don't hurt as much then...until you NEED to move.  Plus you aren't living your life!  If this is what you are doing, please start moving.  You will feel better and you will be able to pat yourself on the back when you accomplish things in your home.  Just be sure to pace yourself.
 
Let us know how you are doing.  Hope you start feeling a little better.
 
Sherrine
Forum Moderator/ Fibromyalgia
***********************
Fibromyalgia, Crohn's Disease, Ostomy, Diabetes, Autoimmune Inner Ear Disease, Osteoporosis
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
God does not give us a spirit of fear, but of power and of love and of a sound mind.    2 Timothy 1:7


garnetstar
Regular Member


Date Joined Oct 2008
Total Posts : 27
   Posted 12/29/2008 12:49 PM (GMT -7)   
Thanks everyone for your advice! Yeah, I actually have a prescription for Vicodin, and I found that all it really does is make me feel high and upsets my stomach. I just thought it was a little weird that she automatically thought I was asking for pain pills when I was talking about Neurontin or Lyrica. I told my mom (who also has FM) about my doc, and she said that it sounds like my doctor doesn't know about FM all that much, and that I should call my rheumatologist. As for the stretching and activity, I do work retail, so I actually am not allowed to sit down in an 8 hour shift unless I'm on a break. My job requires lifting, and bending, and opening up drawers, etc. I'm going to be going back to bellydancing soon, though, so maybe that would help.

Sherrine
Forum Moderator


Date Joined Apr 2005
Total Posts : 17101
   Posted 12/29/2008 12:57 PM (GMT -7)   
Sounds like you are plenty active!  Neurontin and Lyrica are pretty much the same thing.  That might be a suggestion the next time you see her.  Or even call the office and ask about it if you really want to try it. 
 
Sherrine
Forum Moderator/ Fibromyalgia
***********************
Fibromyalgia, Crohn's Disease, Ostomy, Diabetes, Autoimmune Inner Ear Disease, Osteoporosis
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
God does not give us a spirit of fear, but of power and of love and of a sound mind.    2 Timothy 1:7

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