PM appointment next week

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Veteran Member

Date Joined Oct 2010
Total Posts : 924
   Posted 10/12/2011 10:17 AM (GMT -6)   
Hi All,

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

Veteran Member

Date Joined Aug 2006
Total Posts : 9661
   Posted 10/12/2011 3:25 PM (GMT -6)   
Well, give it one last try if he's still a no budge then maybe consider leaving and gettting another
PM Doctor. You need someone who will work with you...many many well wishes in what you choose to do, you got some
hard choices to make...maybe it's time to move on...
* So many dx's I could write a book* "It would be nice if we could use the edit button in real life"...
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