I have a different problem than you do, in that Demerol does absolutely nothing for me. They can shoot me up, and I don't feel a thing. I'm pretty resistant to morphine too. I have had trouble using the walk-in clinics around here because so many of the doctors don't want to use narcotics to treat a bad migraine.
One clinic labeled me as a "drug seeker" because I got into a head-butting episode with the main doctor there. He wanted to give me Toradol, and I told him that this particular medication would do nothing to reduce my migraine. I knew too much information about my migraines and medication. Thus, it was useless to go back to that clinic, because they flagged me as a "drug seeker".
My last PCP sent a letter to the other walk-in clinic in town stating that I should not be treated with narcotics, which the main doctor agreed with. However, neither my PCP or the walk-in clinic would show me a copy of the letter that was sent, which really ticked me off. Thus, I've been doing the ER thing and dealing with hours of waiting and the question of whether I will get a reasonable doctor or not. The walk-in clinics in my town all use Nubain, instead of Demerol, and Phenergan, which will definitely knock you out. The best thing for a migraine is to get the medication and sleep through it. With these meds though, you should wake up in the morning and be functioning.
I just recently changed back to my old PCP, who first treated my migraines in 1978. He let me go back on my old preventative, Stadol Nasal Spray, which is the ONLY thing that has ever worked for me. He is being very conservative with the dosage he prescribes. He wants me to streach out a bottle from two weeks to a month. That's just unreasonable, because my triggers are environmental or hormonal. I can't control the weather. He's also letting me have a little Lortab for breakthrough pain, but the dosage is so low that it goes really fast. Plus, everytime I talk to my parents, they ask me if I'm out of my medication yet, even right after I've gotten a refill. They treat me like a total irresponsible child, like I should call them everytime I have to take a hit of my abortive. It's insulting and makes me mad as heck!!!
Hey Leigh Ann: I completely understand how you feel. The thing that makes me the most angry is that I have been trying to take Lortab with all my other meds instead of the po Dilaudid (taking it as my neurologist has told me to) and when I had the pharmacist call for a refill, the nurse told the pharmicist that it was too soon. The pharmacist called me and told me what they had said and also told me that she didn't really know what the right amount of time would be to ask for a refill. She said that I was way past the time of taking it like the doctor had instructed (1 pill every 4-6 hours). It is so confusing. So, now I am taking the Dilaudid. I honestly thought I was doing good by trying to take the lesser of the two narcotics but.......what I don't understand is why, when you do what your doctor tells you to do, everyone treats you like a criminal????? I am so frustrated I could scream. I thought I had a solution for when I needed IV meds (which I seem to only need when I don't or can't take my po meds because I am trying "not to take them too much or too often") by having the Urgent Care all situated with a prescription and letter from the doctor. Now, however, I guess it will be back to the ER.
I will print this form (thank you!) and have the doctor fill it out. At least then, I can take it to the ER. So far, I haven't had any problems with the ER, but I am sure if I go too many more times, there will be. The frustration of all of this is killing me. I have not gotten rid of this headache since Tuesday - I swear, the second I had the Demerol, it made it worse. It is not horrible now (no vomiting) but is just pounding 24/7. I keep taking Relpax (2X/day) but so far, nothing (just feeling exhausted). When I get the Dilaudid IV, I have always had immediate success and never feel drugged (in other words, I don't miss my life for hours or days).
Anyway, sorry to ramble. I feel like screaming but I guess that would only make my head worse lol! Hope all is well with you. I miss seeing you on here when you aren't on. Let me know how you are doing.
Going to the ER is absolutely the worst. It takes anywhere from 2 to 8 hours to be seen by a doctor. In our Emergency hospital, it has two sides, an Emergency side and an Urgent Care Side. Urgent Care opens at 8:30 in the morning, but the doctors don't show up until about an hour later. That way, all the bays are filled up with patients. There is no way to predict how long you will get stuck waiting. When the doctor finally comes in, it's a crap shoot which doctor it will be. Some of the doctors recognize my name and check to see how many times I've come in with a migraine. They don't examine me or ask any questions about what symptoms I am having. They just tell me I've been to the ER "x" number of times, and that's not the appropriate way to handle migraines. They don't believe in using narcotics to alleviate a migraine. They think I just a "drug seeker" looking for a fix.
I sure as hell wouldn't wait all that time to get a shot with barely enough medication to make my migraine go away, if I was just "drug seeking". My doctor signed off on my form when I listed what it took to stop my migraines. He didn't have any problem with it. My Dad laminated it, and I carry it with me at all times. I also carry a laminated card with all my current medications w/ dosages, because since my time on TOPAMAX, I can't remember details like that anymore.
In addition to my migraines, I also have chronic back pain. I have a whole boatload of problems from one end of my spine to the other. My orthopedic surgeon says that I will need to have the base of my spine fused, but wants to put it off as long as possible. He defers to my "pain management" doctor to treat my back pain. My PM doctor doesn't believe in using narcotics, which is the only thing that gives me any relief. I've spent three years getting epidural shots and nerve blocks, which give me no relief. I can't take any NSAIDs, like Ibuprophen, Aleve, or aspirin anymore, because I have an internal bleeding problem in the location I had my gastric bypass. I am in agony all the time, I can't spend very long on my feet, and my Dad has to do things like do my laundry, take the trash, carry anything heavy, etc... I can't even load or unload the dishwasher without major back pain. If I do something like that, I immediately have to sit down, and the ripple of pain that goes up my back is incredible. I can't seem to get my doctors to understand that I have no quality of living. I asked my PCP if he could prescribe something like Fentenyl patches, so I would keep a constant level of medication in my system, so I could actually get around and do things. He said NO, saying he would only prescribe something like that to someone with cancer. I just don't get how some doctors prescribe the appropriate pain meds to give the patient a decent quality of life, and others won't take the responsibility.
Well, I've got to get off my high horse now. I have to continue trying to pack up my townhouse to move in a couple of weeks. It's doing wonders for my back.