I really appreciate the wonderful and helpfull comments you all have given me. I started in pain management in GA and my doc was amazing! When I moved to Florida the downhill rollercoaster ride began. The first doc I saw had no problem giving you proper treatment and medication that you needed but would make you feel like you owed him something big because of it. He would actually kinda push procedures even if you did not need them and use ur medication as a bargening tool. Dont get me wrong I did many procedures and they worked for a bit but I believe many of them were not required. To date I think I have had close to 25 procedures on my back (no surgery yet - fingers crossed). I finally got sick of this doc and his arrogance so I found another office which at first was great. I saw one doc. I came to my appt one day and she had quit. I was put with another doc who I saw for about 3 months then he either quit or moved to another office. After him I never really had a relationship with one doc. You know a doc that I can say "My doc". Now, I see whoever and yes they all have different ways off treating their patients which is not bad but I like consistency. I was seeing different docs (same office). Basically I saw who was there and who met my schedule needs. They all said we can see the notes the previous doc wrote so we know whats going on. Then all the medication changes began. No more methadone or oxy ir 15mg for me. This combination worked extremely well for me. I hear alot of people say stay away from methadone its no good. Heres the thing ... It worked for me and I hardly needed any b/t meds. I think that is the whole goal of chronic pain. Try to use as little medicine or procedures as you can for the greatest effect. Now I take many more b/t meds with the around the clock med i am on because the around the clock does not work like the methadone. Some of you may say why did you stop the methadone and oxy ir 15. I did not my doc did. Not for anything I did but because they were all scared. THe state of FL has scared them all. After a two year roller coaster ride of trying to find a good treatment plan for me I still am not satisfied. And to make matters even more crazy. The methadone and oxy had little side effects for me and I took very little of the medication. The oxy had no tylenol in it which as I have always been told is bad on your liver. Now because my docs are scared of the system I take a long acting med that has horrible constipation, about half the pain relief as the methadone doesnt last near as long. Also my b/t med is now percocet with tylenol! I thought I should not take this on a chronic basis. Every doctor I know says you should not take it for long periods of time yet my doc has me on it because he is scared of FL. My healthcare has taken a backdoor to my physicians being scare to do what they went to school for a long time to do. I know I am ranting and am sorry if some of you are like GOD this guy wont shut up. If you dont like what I am saying please stop reading and do something else. Also as I said it the original post I saw a new doc again this past time who said my long acting med was to high and we should lower it. To this the first thing I said to him was .. "why is this the first time I am hearing this?" I have been on this dose now for close to a year and now I hear it. He said well us doctors all do things a bit different. We have different training. The doc I saw before him actually said to me we have many patients and unfortunatly sometimes you (patients) are just a number like an assembly line. So, Is the next doc I see gonna say ..."so ur tapering off of this med but ur pain levels are increasing. I think we should increase it or change it all together. NO NO NO NO NO NO NO NO!!!!!! I want one person to deal with here. I want me and my doctor to discuss what is best for me in my care. I dont even consider it care anymore. Its is so terrible. So now since i am titrating down on my long acting med (morphine er) I am takin more b/t med which you quessed it has more tylenol which is not good for me. Also, If I tell my doc I need more b/t med because my pain levels are up as a result of the decrease of the other med he will tell me no more can be given. So what do I do then? Suffer thats what and I am so so so so so tired of it. All of this is coming from a chronic pain patient who has never had a dirty urine test, whose urine always shows the meds he is taking and the right amount, who never asks for early refills, who is always early for appts and never cancels them, who has done physical therapy, nerve studies and many injections. I have done everything I am supposed to do and as far as I can tell I am the model CP patient. But still everything boils down to the medication and it should not. I know many of you say change docs change docs... Its not that easy especially in FL. Many of the docs here are leaving or not getting into rehabilitation medicine or pain management becaue they dont want to deal with the state. I really can blame them. Also how would I even start to begin the process... start calling all these clinics and offices and say i need a new doc. To many of them this is a red flag. In no other field of medicine would it be. Any other specialty would gladly see me but not PM. Do I just start interviewing docs and go through 10 appts till I get the right one? Can a person do that? Its just so hard. My pain levels have been up and I am at my wits end but I am still breathing and thats good. Oh well I am sorry if you were bored by my rant but it needed to be done. I have to get up now as my lower right side of my back, groin, hip and leg are starting to hurt pretty bad. Time for a percocet. With tylenol ..... Have a great day everyone and I hope you all stay as pain free as possible.
(Edited for improper language) SE
Also, Please consider splitting up your paragraphs for easier reading
in future post. Thanks!
Post Edited By Moderator (Screaming Eagle) : 9/9/2011 11:12:26 AM (GMT-6)