I like to get advice before seeing my PM (every 3 months).
Last appointment was a disaster. I wanted to explore non-opioids that could help me not focus on the pain while working (writing). So I asked him about provigil -- as a concentration aid. He said no as it "won't work like that". That's fine. He might be right and so I then went on to discuss cymbalta. To my amazement, he also said no to it. I have tried wellbutrin and savella. The former didn't have any effect. The latter had some bad side effects. So he may have been wanting to shy away from anti-d's in my case. But it was weird that he wouldn't give it a shot.
He seemed ready to refill any of my existing meds, as he had his pad and pen in hand. But since I didn't need any refills, I left w/o any scripts... not because I'm doing well, but rather because he just seemed burned out and not willing to discuss options.
In less than I week I'm going to see him again. My BT usage has been creeping up. A year ago, I would take a BT med about 15 times per month, but now I'm between 20-25 times per month.
Given how odd he was during the last visit, I'm thinking of just saying the minimum, getting refills, and that's it. Sadly, I just don't trust the guy anymore and don't know what he's thinking about me. If I'm lucky, he'll be in a better mood or I'll see his PA, who always is very chatty with me.
C4-T4 Scoliosis (disk degeneration, stenosis, narrowed neuroforamen, bone spurs), RT hip and SI joint damage from car accident. Also, pectus excavatum, supraventricular tacycardia and mitral valve prolapse syndrome.
Current meds: Ultram ER 300mg daily, breakthrough - hydrocodone 10-15mg, or oxycodone 5-7.5mg. .25-.5mg ativan as needed for sleep, Verapamil 240mg SR (for tachycardia). [/gray