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Chronic Pain
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Annastazya
Regular Member
Joined : Feb 2017
Posts : 50
Posted 10/11/2017 6:16 PM (GMT -6)
So since my pain meds are about to run out what am I supposed to do? The two options offered (LDN or medical marijuana) aren’t covered by our insurance and they charge $600/month for the medical marijuana visits with $100 for the card.

I spoke with my PCM & she ordered a new MRI, but acted like I was bothering her-she won’t put in a referral to a spine specialist until the mri is done. So, 2-3 weeks for the MRI followed by 4-6 weeks to see a specialist. All with nothing for pain.

I had self discharged from pain mgmt when they cut the meds so much it’s like taking nothing (I went from the fentanyl patch and Tramadol for b/t to 5mg oxycodone) Do I go back & appologize, groveling for them to take me back? Or do I bug my pcm for yet another pain mgmt referral? (She’s very curt & gives the impression she thinks I’m a drug addict/seeker) To be honest, right now I AM seeking relief whicH IS PAIN MEDS! I just need some help!!

All I know is, I cannot function like this. I hurt so bad I’ve been dry heaving & have the worst heartburn from stress... I was able to get some Dramamine & ginger ale which has helped with the nausea quite a bit. How is it humane for us to suffer like this?!
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Sometimes i am me (HT)...
Elite Member
Joined : Mar 2009
Posts : 22180
Posted 10/11/2017 9:42 PM (GMT -6)
hi, once mri done, and it fits the criteria for the consult, get an urgent appt. they have ways of getting ya in if ya play nice. the self discharge tells them to stick it, and they see it as that. no grovelling, maybe a referral stating that the reduction of meds was not sufficient in supporting your pain....hence the self discharge. hope this helps.
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cogito
Veteran Member
Joined : Oct 2010
Posts : 955
Posted 10/11/2017 10:38 PM (GMT -6)
Annastazya,

A few months ago I dropped from the equivalent of 30mg of oxycodone daily to about 7.5mg. Agmatine 250mg 2x daily, Tianeptine 25mg 2x daily.

I used to be at 3-4 pain level with a few daily episodes 5-7.
Now, I'm 0 most of the time with a couple 3-5 episodes.

You can get Agmatine from Amazon, and Tianeptine from about 5 nootropic websites.

Agmatine directly helps, but mostly, it increases opioid efficacy by rolling back tolerance... perhaps it will make your oxycodone work better. Tianeptine though massively helps my pain with 45 minutes of the dose.

If you can't find any other relief, give it a go.
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pitmom
Veteran Member
Joined : Jan 2015
Posts : 2797
Posted 10/12/2017 5:47 AM (GMT -6)
Have you tried a t.e.n.s. unit? While it's not a 'cure all', for me, it's a huge help.

Keeping the nerve paths 'occupied' from the stimulation means fewer 'pain' signals can get through.

I bought my unit at my pharmacy for under $90. I use much less medication now.

Might be worth a try if you haven't yet.
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Annastazya
Regular Member
Joined : Feb 2017
Posts : 50
Posted 10/12/2017 6:14 AM (GMT -6)
Yes, I have a TENS unit that I use daily as well as topical treatments
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straydog
Forum Moderator
Joined : Feb 2003
Posts : 18364
Posted 10/12/2017 6:18 AM (GMT -6)
Anna, yes you are stuck at this point. I am thinking the PM dr you discharged the odds of him taking you back are not very good. In the meantime, I would look on my insurance plan to see how many PM drs are available that accepts your insurance. You can call & find out what it takes to be seen & how long before an appt is available. If you can get this done, then by the time the PCP has your MRI report you can give her the names of drs on your plan. This will help speed up the process.

A lot of people think MM is the answer, well experience here is they can't afford it as it is expensive & they still need pain medication.

Take care.
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Raew64333
Regular Member
Joined : Sep 2017
Posts : 34
Posted 10/12/2017 7:58 PM (GMT -6)
I feel for a lot of people with chronic pain.. With all the pain med overdosing these days and deaths doctors are having to watch how they prescribe.. Those of us pay for the price of abuse of those that don't need them.. However my doc sees my usage and knows I do not abuse them.. I suffer some days and its not fair but I deal with it.. Thank God I am retired and do not have to report to daily job.
I still believe docs are best resource to know us and prescribe what we need.. If you talk to them and level with them pain level they can change to new stronger med.
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Raew64333
Regular Member
Joined : Sep 2017
Posts : 34
Posted 10/12/2017 8:06 PM (GMT -6)
I believe pain control is more then a pill. We have to take responsibility for our part in it.. We may hurt but still must do our best with exercise diet and maintaining a daily healthy lifestyle.. Couch potatoes doesn't count.. Takes time to establish new habits that we don't feel in short time.. Progress is essential. Mentall health is essential too for changing old habits.
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Annastazya
Regular Member
Joined : Feb 2017
Posts : 50
Posted 10/13/2017 5:27 AM (GMT -6)
I agree, as a 100% disabled veteran I take care of myself the best I can. I’m 5’9, 145lbs. I eat right & walk my dogs 2-3 miles daily. We have a hot tub I soak in, I do stretching & pressure point exercises... I literally do everything I can for myself and it took years of monthly pain management visits to be taken seriously.

I have been discarded with nowhere to turn for help
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straydog
Forum Moderator
Joined : Feb 2003
Posts : 18364
Posted 10/13/2017 7:50 AM (GMT -6)
Anna, I think the PCP ordering the MRI will work in your favor towards getting in with a PM dr. A few months ago I was seen by the NP at my PM drs office. I have a very long history of neck & back problems. I am dealing with a pinched nerve in my neck so I was sent for a CT of the neck. Its been awhile since I have had scans done. I cannot do an MRI because of metal implants. Any way the NP & I were talking about the how things have changed about CPer's getting adequate relief. She was telling me that unless the patient has pretty current scans to document the problem they are not getting pain meds from drs. So, this will hopefully work in your favor.

I do understand why the drs are operating as they are about narcotics. With the prescription monitoring system in place they know what every dr rx's to each patient, how much & how often. They are dealing with being flagged & the potential of even losing their license. The government has taken much of their practice over, someone looking over their shoulder. Although the guidelines are recommendation, they adhere for these very reasons.

Again, I urge you to check with your insurance about PM drs in your area. Many drs have gone to procedures & injections only, I wouldn't risk wasting my time being sent to one of those by your current PCP. The office staff is not going to call a PM dr & ask if they will rx pain meds if the dr feels they are warranted.
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