Posted 12/26/2013 1:34 PM (GMT -7)
Please don't ever worry about that! Not ever! I feel thankful that you guys care enough to read all these posts carefully and ask questions, and help me to clarify things that, like in this case, I did not do such a hot job with. Always feel free to ask me, and I'm happy to do my best to words things better. If they still come out muddled, ask again (sometimes I'm not aware that what I'm writing isn't making sense because, well, I do post a lot, and forget what I say).
My PCP has been prescribing oxyIR since my hip surgery in June. Technically she didn't take over until the end of July because I had numerous complications and my ortho was handling everything. She was the one who titrated me off oxycontin, which I was on for the hip, and onto oxyIR.
So she took over, we moved up here to NH, I made appointments with a (potential) new PCP (who gave me the creeps, so I asked my PCP in MA if I can keep her until I'm stable, she was fine with that),...and an appointment with a PMC (which is tomorrow -- they kept telling me they didn't get her referral, even though I saw her type it into the computer three times since September).
So tomorrow is a 2 hour long consult with a PMC.
My PCP was at first willing to write a new RX for additional oxyIR because she said I shouldn't have to be going through this kind of pain....then about an hour later her nurse called, and she changed her mind, and said she's been prescribing me meds based on my hip and SI joint complications, (and that fall I took a few weeks back when I landed first on my T12/L1 area above my fusions and down on my butt where the L5/S1 region was very tenuous, as per my neuro's relaying this to me, and he warned me to be careful of this region...that fall gave me a lot of hefty bruises as well as pain).
Then surprise I get BC, and my time was spent getting all these diagnostics (so I'm going in tomorrow for the lumbar XRays as ordered by my neuro in Boston....he faxed them to a hospital in one of the two large towns we live between). This will be for my neuro, my PCP in MA, and my new PMC and no doubt, affect the oxyIR I've been taking?
Back to the meds,....remember I had 2 surgeons. One told me to "just take the oxyIR as directed, you should be fine." This did not work, and my primary surgeon took days to get back to me with a Rx for Vicodin 5/500. This did nothing. He then told me to take 2 at a time (and I'm getting edgy because of the Tylenol in it, but I did as I was told). I even d/c the oxyIR for a few days (as he asked me to) to see if a different medication would work. It did not. Then he told me there's nothing else he can prescribe me....other than Ultram (which my ortho, who did my first hip told me to NOT take due to my history of drug interactions plus the fact that I take a higher end dose of Prozac,- 40mg).
His RN even asked me if I'd be willing to at least try the Ultram because the chances of me having a reaction are so small!! (I was gobsmacked).
That's when I called my PCP because I was in a lot of pain, it was not going down, not getting less, I had been to see my surgeons three times (one once, the other twice), no signs of infection, everything looks good, just very bruised, swollen, and painful. (Not tender, not sore, not uncomfortable.....painful enough to distract me, wake me up, whimper).
Finally, via his nurse said he would consider prescribing a few days of permitting me to take 1-2 extra oxyIR per day for a few days. And that I can pick the Rx up tomorrow. And that is fine because we've been blanketed in snow yet again and I don't feel safe trying to drive anyway.
It was my surgeon's RN who said (perhaps doc's sentiments too?) that I "really shouldn't need additional pain meds" for this surgery.
My 1st appt with my PMC tomorrow, they make it very clear they do not Rx any meds on the first visit, so now I've got to call my PCP back and relay that to her as well...I don't think either of us anticipated anything one way or the other. I suspected, but....every place is different.
My PCP said that because I was complaining of breast pain, she thought I should discuss and thus get med increases from him, not her, for this particular issue. So that's what I did. I've followed everyone's advice to the letter (including the ice packs in my bra,...dear God, those two words should never be in the same sentence!)
Did that make any more sense?
Again, please, always feel free to ask me to clarify. It's good for me too, so there aren't any confusions or misunderstandings,...just because I may accidentally post gobbledeegook. Your questions make me feel more like you care,...and they do not make me feel defensive in the least! :)
Thank you for that!
PS: If you have any hints on how I may best walk that line between being assertive (politely) for myself and not defensive, I'm very receptive to ideas! ;)