Toradol, My PM Appt and Other Stuff

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Blessedx8
Veteran Member


Date Joined Aug 2008
Total Posts : 3193
   Posted 6/14/2012 3:35 PM (GMT -6)   
Hey all,

Saw my PM today. I've been seeing a "new" doc in the PM Center I go to for the past 3 months; my PM had to leave due to a family issue. I've had a hard time connecting w/ this doctor regarding my care. Personally, we get along great as we both have kids, etc. But in terms of managing my care - we've yet to see eye to eye.

I went in.... needing a slight increase in my BT med (maybe 1 pill). I wake up in the night and can't sleep - but, with only 2 BT pills that I use during the day - I just suffer at night. In addition, I've been getting about 4 migraines a month - intense pain; nausea/vomiting.

Well, I saw the PA (this PM Clinic trains lots of different medical people). She was wonderful. She recommended a new-ish Toradol Nasal Spray for my migraines. I can use it 5x a month. She also wanted to give me one more 15mg oxycodone to use during the night.... But, with all "trainees" - they need to go approve through the doc.

PA comes back. Doc said no to the Toradol and increase in BT. Wants to give me a sleeping pill. Ummmm, no thanks. If it was that easy - don't you think I would have that earlier?

Long story - I end up seeing my Dr. She then agrees the Toradol is a good idea for my migraines but she's not "comfortable" increasing my narcotic. Not comfortable? This is the LOWEST amount of meds I've been on in 4+ years - at my OWN doing. Last October, I had been on massive morphine, Fentanyl suckers and so forth. And she's complaining over ONE oxycodone?

I said those exact words - but in a professional, polite manner. I told her that I really liked her personally.... and this was nothing against her..... and maybe, at the end of the day, the doctor/patient relationship would not work between us - and that was ok. But that I needed a doctor that would realize I've been on this journey for YEARS now.... have been on ALL oral meds at very high doses... at my own doing, I decreased to next to nothing - and my goal is to stay on the least medication possible. That I have always taken my meds responsibly.... have a good support system that makes sure I have no side effects... and so forth.

She said my request isn't unreasonable at all. She just put it out there that she is ultra-conservative... but she hears me.... and if I'll give the toradol a try for 2 weeks - she'll see me in 2 weeks and bump up my oxycodone by one pill. I told her I was fine w/ that compromise.... but wanted to make sure she saw my perspective. She said she did - and I could tell that she respected my honesty.... and the fact that I spoke up.

So.... she told me the Toradol spray is about the equivalent to 15mg of IR Morphine.... I will share how that goes next time I get a headache.

I walked out of the office, feeling good that she IS conservative - meaning she cares and isn't about drugging me up! - but that she DID have an open mind... and I "think" respected that I spoke up and just put it out there on the table. And that's my end goal - to have a mutually respectable relationship w/ her....

Just wanted to share what happened today..... :) --Tina
Moderator - Chronic Pain Forum

My faith and family sustain me even on my worst days... as well as my wonderful friends here at HW.

Health/Pain Issues - too many to list; feel free to ask

Snowbunny21
Veteran Member


Date Joined Jan 2010
Total Posts : 3557
   Posted 6/14/2012 4:06 PM (GMT -6)   
Good for you for explaining yourself in a calm and efficient manner and really getting through to this Dr. about your side of the issue.

I bet she was impressed about how you handled things and this is why she is just asking that you give the spray a try and then see if you need the increase.

I know there is so much more DEA and state regulations and pressure on Drs. these days with having to take baby steps with patients and tirating their doses. And even though you have been on much higher doses and must stronger meds....she hasn't walked that journey personally with you.

So it sounds like both of you are respectful of each other and yes...she "hears" you which is critical as well as you "heard" her and are willing to try the path she is asking....

I am very blessed to have that type of relationship with my PM as I respect his knowledge as a Dr. and we work together on helping me stay at a 5 to 7 on a pain scale using meds as well as all the other modalities.

Thanks for sharing your update! I hope the spray works for you to help your migraines!
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
 
 

cogito
Veteran Member


Date Joined Oct 2010
Total Posts : 932
   Posted 6/14/2012 4:12 PM (GMT -6)   
Tina,

I'm impressed by how you handled the disagreement and how the accommodation was struck.

As we discussed in relation to my recent PM visit, it is so important to be able to converse intelligently with one's doctors -- for reasons to be exchanged, and for there to be mutual respect and trust.
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:20mg Oxycontin daily, Oxycodone 5-10mg for BT. .25-.5mg xanax as needed for sleep, Verapamil 240mg SR (for tachycardia).

gangsterkathryn
Regular Member


Date Joined May 2012
Total Posts : 44
   Posted 6/14/2012 7:47 PM (GMT -6)   
I hope your doctor understands your need to increase, although I'm sure that she is just trying to cover her tush, which I understand. She can never be too careful with the DEA so far up it! It really sucks that people who have known issues and severe pain have to fight to get what they need.
Kathryn - 22 years old.
Mommy to Baby Scott - May 18th, 2011.

Accidents: Jan. and Oct. 2008, Nov. 2009.
Surgeries: Eye - 1995, Lumbar Laminectomy L4-5 - Feb. 2008, Cesarean Section - May 2011 and Gallbladder Removal - June 2011.
Current Medication: Generic Fentanyl 50 mcg/h patch every 72 hours (feels ineffective after 48), Meloxicam 15mg once a day and Generic Tylenol for breakthrough.

momtofourangels
Veteran Member


Date Joined Apr 2010
Total Posts : 2265
   Posted 6/14/2012 8:01 PM (GMT -6)   
Hi Tina It's good to hear you standing up for yourself. I think I need to do that more. I'm glad that your dr heard you. I really hope that the spray helps your migraines. Our family friend had horrible migraines during that time of the month, so I somewhat know how painful they are.

Take care my friend. I hope you're having a low pain evening, and that you get some good sleep.

love and hugs
Loretta
Dx: osteoarthritis, bursitis in left hip, Osteoarthrits in right hip, compression fracture in thoracic spine due to falling on frozen ground March 2001 , ddd, spinal stenosis, bone spurs, osteoarthritis in spine, osteoarthritis in both knees
Meds: Fentanyl patch, oxycodone, otc: BenGay, Tylenol Arthritis on occasion

Screaming Eagle
Veteran Member


Date Joined Sep 2009
Total Posts : 5005
   Posted 6/14/2012 9:13 PM (GMT -6)   
Tina,…you and I have very similar Dr's!….. After a good long serious talk about two months or so ago, and I mean a serious talk!... he finally has loosened up a bit and we are now on the hunt for a decent solution for my Chronic Pain.

I think your approach was right on!…first giving her professional "respect"….and then "sensibly" pleading your case and backing it up with facts. One other thing I think helps, is to be a bit educated regarding pain med's and doses, and having a decent understanding or your long term condition. I have gotten to know you quite well over the last few years, and I have to say that I admire your knowledge in both areas.

So today, you gained a little ground, and left yourself some hope for the future,….. and that my dear friend!….I call a good day! turnturn Congratulations!! wink

I hope you get some much needed rest in the coming nights….and hope the nasal spray is effective for you!

Take care, and enjoy your victory! yeah

SE wink
Moderator Chronic Pain Forum

Weekly Quote!

"Getting over a painful experience is much like crossing monkey bars. You have to let go at some point in order to move forward."

Boxerlover
Regular Member


Date Joined Dec 2006
Total Posts : 275
   Posted 6/16/2012 12:55 AM (GMT -6)   
Tina,
 
If you don't mind, yes please let us know how the Toradol spray works. I don't get migraines but get chronic kidney stones and Toradol is one of my meds. It really does work. I actually asked my uro if he'd let me have the injectable but he said when my pain is that bad he wants me in the ER because my kidney could be being damaged. But the sprayable would be a great option. Plus when I have a stone I always get naseated and end up throwing up all my meds anyway LOL!
 
I hope it works for you and I'm glad your doc listens and is willing to work with you!
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