1st appt with PM Aug 29..should I refill from PCP on 15th?

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Mysti
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Date Joined Jul 2011
Total Posts : 101
   Posted 8/2/2011 5:03 PM (GMT -6)   
Hello everyone...I have something on my mind that I'm sure y'all can help me out with.  For the past few years, my PCP has been scripting pain meds for my DDD/back pain.  She finally referred me to PM and I have my 1st appointment on Aug 29, almost a month away. 
 
 My PCP has me on hydrocodone 10/650 3x day and my next refill is due on the 15th....which brings me to my question.  First of all, since she has referred me to a PM doc, I'm not even certain she will approve the refill (I have been calling in every month to the pharmacy and she authorizes it, no problem...and I have never tried to refill early.)  Secondly, I get a months supply of 90 pills but should still have about 2 weeks worth left when I go into see the pain management doc. 
 
 The PM office told me to bring all my meds with me.  My current rx is no longer covering my pain, and thus the reason for the PM referral, but what I'm getting at is...since I will have around 2 weeks left of hydrocodone (and this is only if my PCP does approve the refill), do you think it would be best if I just not try and get that refill on the 15th?  Will it complicate matters by having this supply of pain meds from my PCP? 
 
 Yes, I will definitely be in some increased pain without them, but I've done it before and I made it, painful as it was.  Or do you think it will not be a problem by having the meds?  Maybe I am making too much of this...it's still 2 weeks away from the refill day, but just trying to sort everything out.  When a PM doctor writes a script for something new, what happens with the existing pills?  Do they dispose of them?  Or do they just tell me to finish them, THEN they will write me a new rx for something different? 
 
Sorry if this question seems all over the place.  I guess what I'm really asking is will I just be delaying my new treatment by refilling my current meds on the 15th?  I do hope everyone is having a low pain day today.  This Texas heat is killing me.  110 in the shade today smhair    Thanks in advance for any advice you can give me!
 
 
 
(edited for easier reading) Thanks! SE wink

Post Edited By Moderator (Screaming Eagle) : 8/3/2011 7:53:46 AM (GMT-6)


Jim1969
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Date Joined Jul 2009
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   Posted 8/2/2011 5:20 PM (GMT -6)   
I would go ahead and refill the medication as you usually do. If your doctor does not want you to have it or have a full month of it she can alter the script at that time.

Since this is your first visit to the PM you really have no idea whether or not he is going to take over handling your pain meds, want to make changes to them, or anything else. One thing I would do, assuming you get the refill, is to take the bottle in with you so you can show the PM if need be when you last had a refill.
2 confirmed herniated lumbar discs. Spinal Arthritis. Spinal Stenosis, diabetic peripheral nueropathy.

Snowbunny21
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Date Joined Jan 2010
Total Posts : 3557
   Posted 8/2/2011 6:04 PM (GMT -6)   
I would get the refill for the month...and then bring this in when you go into the new PM so that he knows what you have left..

I do strongly recommend though that you start using the prescription exactly as written from here on out as you've mentioned that you haven't done this in the past...It would not look good to go into the PM with the bottle of pills that doesn't match up with how many you were supposed to take...

Lots of PM's will not prescribe the first visit...some will...So you won't know until you meet with him..

If he does prescribe...he will either 'add' to what you already have...as in give you enough to fill after the rest of the month is done..Or he may 'up' or 'change' your dosage of medicine and he will let you know what to do with the remaining pills...

So...there is nothing to worry about...you and the Dr. will figure all of this out at your appt. But again...I just stress that you start and keep to every single prescription exactly as written...
SB and "the pup who snores loudly" 
 
ACDF C5-C7, (no hardware), with autograft bone Nov. 2001
(reabsorption of bone 2 years later...still lost in body..expect to burp it out at anytime..haha")) 
ACDF with hardware, allograft bone Nov. 2005 
Anterior and Posterior CDF, allograft bone with BMP, removal of old hardware, use of titanium plates, rods, screws, & kitchen sink (lol) Oct 2006
 
 

NiNi53
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Date Joined Mar 2011
Total Posts : 816
   Posted 8/2/2011 6:15 PM (GMT -6)   
I agree with both Jim and Snow, it will show good faith on your part if you come in with 2 weeks still in the bottle.
 
You also when you call about, ask if she will give you enough to get the time of your pm appt.
 
Take care and hope you are feeling well today.
degenerative disc disease, fibromyalgia, osteoarthritis, neuropathy, lumbar laminectomy july 1998 no help, rechargeable neurostimulator unit low right back w/lead wires to left side and right leg unit not working just sitting there.i am 57 years young in may will turn 58. i have 2 grown daughters, 25 and 29. i have 2 grandchildren, 9 year old grandaughter and 5 yr. old grandson

Mysti
Regular Member


Date Joined Jul 2011
Total Posts : 101
   Posted 8/2/2011 7:15 PM (GMT -6)   
Thank-you Jim, Snow, and NiNi...I really appreciate the advice.  And yes, absolutely I will be sure and have the EXACT amount I am supposed to have in the bottle.  The PM office staff told me that this doctor *does* prescribe as well as injections, etc., but I have no idea if he will want me to just continue taking what my PCP prescribes and then offer additional modalities such as injections, PT etc.  I'm looking forward to the appt, but nervous already, as well.  I just want to get back to a somewhat normal life.  I feel so bad for my husband and family....I never want to do things with them because of my pain and I'm always hobbling around hunched over.  My husband reaches out to hug me, then stops himself and says "Sorry, I feel like you are going to break", as he backs off.  rolleyes   Not good.  (But that's another topic)...
 
Thanks again y'all!
 

Snowbunny21
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Date Joined Jan 2010
Total Posts : 3557
   Posted 8/2/2011 7:21 PM (GMT -6)   
And just fyi..he may be a Dr. who prescribes medicine...but some of them don't on the very first visit until they get a feel for you, read your chart and see what tests you have done. So...just trying to prepare you either way...That's why it would be good to get the regular prescription from your Dr. so that if this Dr. waits...or wants to try other methods of helping you first...then you will have the medication to take when needed..

I hope it goes well and you can work with him to find a good combination of things to help manage your pain...
SB and "the pup who snores loudly" 
 
ACDF C5-C7, (no hardware), with autograft bone Nov. 2001
(reabsorption of bone 2 years later...still lost in body..expect to burp it out at anytime..haha")) 
ACDF with hardware, allograft bone Nov. 2005 
Anterior and Posterior CDF, allograft bone with BMP, removal of old hardware, use of titanium plates, rods, screws, & kitchen sink (lol) Oct 2006
 
 

Mysti
Regular Member


Date Joined Jul 2011
Total Posts : 101
   Posted 8/2/2011 11:26 PM (GMT -6)   
Thank you Snowbunny.  That's a good point.  I have no idea if he will write me out a script at my first visit...I guess that's why I feel a bit nervous...just the unknown.  I probably will need to let my PCP know that I don't have an appt until the 29th. 

grandmaroses
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Date Joined Jan 2011
Total Posts : 1355
   Posted 8/3/2011 8:45 AM (GMT -6)   
Hi Snowbunny, When I had my first appt with my pain management doctor he told me when he wants my medications changed he will contact my family doctor and they work like a team that way when I need any medication prescribed I am to go to my family doctor.I had timed my medications so I was out of meds so had to go see my doctor as an emergency appt. Might not be the way yours work but I would fill the prescription as its better to have and not need than need and not have. Hope your appt helps.
Take care
Rose



Insulin Dependant Diabetic, Fibromyalgia, Gerd, IBS, Sleep Apnea, COPD, Spondylolistesis, Diabetic Neuropathy, Fatty Liver, High Cholesterol

Screaming Eagle
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Date Joined Sep 2009
Total Posts : 5005
   Posted 8/3/2011 9:21 AM (GMT -6)   

 

      Good morning Mysti!

           I will agree with all written here, and wanted to remind you to take any reports you may have with you, especially the latest MRI if you have one.

    You are on a very low dose of med's, and it kind of surprises me that you're Dr is sending you so soon. Your only taking 30mg a day right? (Hydrocodone) Also have you had any of the injections yet? (Epidural's)

    Like other's, I suspect this may be one of the first treatments they will try. For some this will help, and for other's there may be little if no effect, but it may be worth a try.

   If you sign a contract, please follow it to a T!!....as you may never know when they will test you.

       Good luck....and get those med's filled on the 15th as well.

    SE wink


Moderator Chronic Pain Forum

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straydog
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Date Joined Feb 2003
Total Posts : 16799
   Posted 8/3/2011 1:36 PM (GMT -6)   
Mysti I guess I am the odd man out here, lol. Any time I have seen a new PM dr on the first visit he did give me script for medication because my meds were changed because what I had been taking was not effective any longer. What is the point of keeping a patient on medication that does not help???? Now, if my memory is serving me correctly this is one of the main reasons for you to be seeing a PM dr is what you are currently taking is not covering your pain.

Again, just be honest that your pain is not being managed and you need to know what he/she can do to help you. Most of the time the dr will ask if your medication is working or not. Be sure this is covered in your visit, otherwise the visit is for nothing.

I am detecting a lot of anxiety on your part about this appt and fear that you will be a complete mess by the time this appt rolls around if you don't get yourself calmed down. I honestly think you are just reading so much here and getting all worked up for nothing. All I can say is be honest about your pain and you should do fine. He may try you on something new before he evens considers any injection or procedures, they just don't automatically do them. At least this has been my experience.

Anyway, just try and get yourself calmed down, getting out of sorts does not help someone in pain. Take care.
Moderator Chronic Pain Forum

Mysti
Regular Member


Date Joined Jul 2011
Total Posts : 101
   Posted 8/3/2011 2:15 PM (GMT -6)   
Yes, SE, thanks...I have made sure this new PM has my MRI from July 12 already. So they now have my medical records as sent in by my PCP. Yes, I am on 30mg hydro per day (taken 3xday) and this was actually increased to this dose in March, after being on 7.5mg 3xday for a couple of years. My PCP has been treating me for this problem for 5 years now, so I'm really surprised she hasn't referred me to a specialist before now. No, I haven't had any epidural injections or anything done before, but this is the PM my brother goes to for injections, which he says helps. Straydog, that's right, the whole reason for the PM referral was because my pain had increased and current plan was not covering it at all. And I think you nailed it that I am getting myself all worked up. I will have to calm myself down and stop obsessing over the whole thing.


I just started a new post a few minutes ago about my increase in sciatica pain since last night. I'm in some serious pain today. Thanks again for all of everyone's help.
DDD, 3 bulging lumbar discs, bone spurs, osteoarthritis
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