Posted 2/24/2016 12:26 AM (GMT -6)
I know many people get annoyed and frustrated having to see a pain management Dr, but I see it like this: If you have a heart condition, you see a cardiologist. If you have an issue with your brain, you see a neurologist. A primary Dr does not have the training in those specialties. So, if you are in chronic pain, you should see a pain management Dr. There are different options and treatments when it comes to treating pain, and your reg Dr does not have the training necessary to implement these options.
As far as you meds, and dosages, you have been very lucky to have been prescribed those with your regular physician. Like Mercy and Grace stated, their are FDA guidelines that Drs, and insurance, use when prescribing pain meds. I could be way off, but using a chart, 30mgx4 roxicodone=180mg morphine. Again-I could be way out in left field, I often am.
Your Dr can prescribe, and appeal to insurance, for the higher doses of meds. My pain doc did have appeal to insurance, since I don't have pain directly related to cancer(which is often and area where the FDA guidelines do not apply). While this can be done, I'm pretty sure a new Dr will start you at a lower dose. But-it would make sense for a long acting med to be prescribed. With a short acting med you are chasing pain. A long acting med should provide steady relief, with the short acting med used for break-through pain.
If you are planning on seeing a pain management Dr, it is best to call as soon as possible. The wait for some Drs can stretch into months.