Refuse To Prescribe
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I live in a very small town and the number of doctors here is limited. The number of good doctors is almost nonexistent. I'm finding that calling for an appointment as a new patient the office staff says right away, "We don't prescribe pain meds"! Also have heard "We don't take fibromyalgia patients"! This is said before I ever state what I need to be seen for. Assuming I did have pain, do I no longer have the right to have my pain relieved? I'm so offended by this. If you have chronic pain you are treated like a leper. Apparently it is automatically assumed you have a drug problem. Going to other towns is the same. No wonder people self medicate. Is this happening all over the country?

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Gran,

Latex and silicone in generic patches (glue). You are correct madam also in generic pill binders.

I need your help if you do have a Houston physician I am fairly sure who I know or heard about in Baytown, it's a damn shame but we changed ALL in our medical board around 2010 when Dr. Hochman died he took care of me for 10 years (until his death).

Pacific Northwest is suicide, they were bad before this, they are worse now. You won't get morphine there.

The physician I went to for the past 5 years is the top PM in the country but 10 months ago he dumped 30 out of state rare cases (he only takes the worst the total piss end death risks and I can die from pain since the P450 DNA allowed it to reach my brain and the barrior is now damaged) and came out of retirement (he is now about 73) when Joel died and another "good physician" who evolved terminal cancer and went bad rapidly in Oregon.

You do not want to move anywhere out there but California but Jerry Brown who was Attorney General was busting pharmacies nonstop; the class 2's are written 3 per page. A kind gentleman I am posting with on the Duragesic withdrawal posts gave me (privately) a physician in Louisiana. I am waiting to hear from him since I'm on the border anyhow and had a boyfriend I lived with there on and off for 10 years. I turned 61 in September although most think I am in late 30's or 40's. Currently fighting and won against the Attorney General in the state my Workers Comp was in and fighting the local yokels at SSA who decided after all these years to deny me for my comp did not pay all this travel for 20 some years. Meaning I'd take a DON or CNO job and drop within 4 weeks, get laid off but it paid the airfare to these wizards. When I was seeing Joel I lived in Midland so you know that was better by plane, and California is only by plane.

I would love the help Gran if you feel comfortable take your time. I have or had put aside 10 to 15% a month for years which is the only thing that has kept me alive; since I am P450 only patches and liquid work, the pills they shoved at me for years apparently zipped out without any good benefit before my GI mashed them to sludge :)

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exactly its a pretty stupid law. what is going on people cant even get pain meds, anxiety meds its crazy because of gerks who ruin it for everyone.

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Thanks for the info.

I have had extensive dental work and bite revision for TMJD. And I have always ground my teeth and clench all the time. Despite having great teeth, I do have diabetes and over the last few years have had a few cavities. I even had a tooth break recently, but the dentist suspected it had a stress fracture to begin with.

But I will be more mindful.

I feel confident my doctors know their business. We've done RFTCs, PStims, MUAs, injections, and so on. While the pain is somewhat better than it was a decade ago, it is still pervasive and debilitating.

That and Houston is hot all year round. That only exacerbates my pain.

I struggle with diabetes and Myasthenia Gravis on top of RA, OA, FMS, CPS, and structural damage from living fast. So anything to help with the pain is a true blessing. It does freak out some doctors, though.

I carry documents with my ailments and meds (with prescriber info). I've only had one who took me off my meds in the last 15 years during a hospital visit. I screwed up, though. I accidentally took my nighttime meds in the morning and my husband couldn't wake me.

I found out the hard way that Narcan sucks worse than natural labor. It squeezes all 36 hours of hard labor and delivery into an hour and sears your veins with acid. But it was necessary.

That was a decade ago, and I am much more careful now. Everything is colorcoded and kept in different containers now. I never want to go through that again.

I will keep researching my dental health and keep my appointments. Thank you for the info.

I'm not sure who Dr. Famous is, but I was once treated by a doctor who also treated Quentin Tarantino and was even in several of his movies.

He was a wonderful and empathetic doctor; but following a horrific wreck (which killed him twice, only to be resuscitated and put in a coma to heal) he developed an addiction. I still love him to death, but he no longer practices.

After his ordeal, his name and practice was dragged through the mud. He was pegged as a pill mill. Even the people who shared an office building in Baytown talked smack about him. We, his patients, were a pariah.

They didn't know that we patients were evaluated carefully, including contracts, blood work and u/a's. They just wanted their 15 seconds on the back of a man who was at his lowest.

Fortunately a doctor in the Houston area took his patients and I love him and his PA to death, too. They are just as thorough and caring.

As I cross my 50th in a couple of months, I fear that Blowbamacare and the unsettling interference in causes in care will hurt my options.

We want to retire to the Pacific NorthWest, but am concerned about finding another doctor when we do.

I pray for relief every day.

I also see a psychiatrist and he prescribes my sleep meds (because I will go for days without so much as a nap if I don't have it) and Cymbalta to help with the pain.

I've done the psychanalysis and "it's all in your head" quackery. While there are some seekers, that are the minority and unfortunately the rest of us get treated like second class citizens.

And that saddens me.

Why don't we have more research into pain relieving medication? And why are the meds so dadgum expensive? (I understand free markets...I was a business prof. I was being only somewhat serious.)

There has to be a better way.

And I still didn't catch why my latex allergy is a possible problem. Is it the binders used to make the tablets?

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P450, Sandy didn't say her dr said she could die. She said he said that at her age the risks of falls became greater. And the number of falls that occurs in seniors is greater than the rest of the population. If she drinks at all, that may also be a reason for her dr's concern.

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Sandy,

My dear let me tell you for years we in the medical community thought that babies and grandmothers did not feel pain (the very new to the very old ok) but this is a medical fallacy. Any adult who generally has been opioid tolerant on medication is not going to suddenly become DECREASED due to age.

We must reach our hearts out to those here who are mentally defective and require psychiatric evaluation.

Peace

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Gran,

There is a post we have been doing all opioids cause dental erosion. Also for those rare cases such as my own I was in constant fight or flight response leading to hypercortisolemia Dr. Famous tests all these hormones when you first come in and along the way. He literally gave proof of scientific information to support.

Opioids will erode and break the teeth regardless of good hygiene. All of them dear.

Check out that post we'd love your feedback on that. I'd appreciate any life saving physician help at this time. I do post to the point and over my years since the injury have effectively referred over 10,000 suicidal patients who were ready to take their life instead got them help.

I have deteriorated now and cannot. Dr. Famous made me stop several years ago he said it would kill me. Pro bono literal referrals and helped indigent walk into ERs and get treated, well Odumma has castrated the system and her people. I'd like to see America and her constitution return in order for all of us here to continue to be free.

When physicians must become ball suckers rather then the great men and women they can be it makes me want to gag. Makes withdrawal look like a damn panty raid.

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Gran,

I am highly complex and will die soon without a physician. Does your physician write Duragesic due to my P450 DNA pills do not work (I have all the paperwork) and would love to have a physician who treats you I am allergic as you are; that is why BRAND on Duragesic the latex and silicone on the generics eats holes in my body and they do not go away.

In the 90's the scientific community which I am a part of (published researcher, and professional nurse) knew that opioids were the safest most productive way to treat intractable pain. Further we finally were able to not just treat pain as a symptom of another disease but a disease in and of itself.

I saw Dr. Famous out in California after my Houston PM died (was with him over 10 years) and still have the best orthosurgeon in the world currently at Baylor, Houston. I am way over in Port Arthur area but had to travel for five years to California and 10 months ago he dumped 30 of us (out of state) due to new California regulations. I am now house bound on less than 30% of what I was on and you would not believe what I as an ultra rapid opioid metabolizer was finally on to stabilize Central Pain Syndrome which in short means all those years of pain had caused inflammation to the brain which is generally fatal.

I have fought all odds my good friend and appreciate your spirit and want to tell you that using morphine is likely the best measure you could do for that chronic pain.

Peace

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P450,

I have been on short and long acting morphine for about a decade. It isn't something I relish, though. Especially when it comes to coming off it, which I have done twice unintentionally. The pain was excruciating and that isn't counting the withdrawal symptoms. And I am concerned about getting older and taking it.

I've tried Neurontin, Skelaxin, Flexeril, Darvocet, and more but nothing worked for very long. I have RA, OA, FM, and various issues due to living too hard and fast when I was younger.

Since I'm allergic to codiene and hydrocodone and Percocet and anything with the same ingredient (of which no one has ever told me the name unlike my live poinsettia allergy due to latex it emits I to the air when the leaves change color, making any place with one hidden in some far corner an effective death trap for me and anyone allergic to latex and turning me into a hermit for about four months every year). I use holistic methods including Accupuncture, massage, biofeedback, physical therapy, hypnosis, meditation, guided relaxation, etc. in addition to pain medicine to try to assuage the unrelenting and mind-numbing pain I have every day...even with meds.

I am open to other methods and other medication. Options are difficult to find, though. I feel thankful that I have a doctor who is willing to work with me.

And if I ever have a condition that would merit pain meds, I always decline and let them know I am on morphine.

Now I worry about my bones and teeth. Info for the layman about the threat t poses would be greatly appreciated.

Heck...I'm willing to go off morphine if something else would work and be legal. Unfortunately here in Texas, medical cannabis isn't yet despite coming close last session.

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Sandy, it isn't a Law it is a recommendation. It is still up to each dr to prescribe for each patient what they believe is the safest and works the best. Seniors usually are taking multipe meds for different conditions that can effect each other. As you get older your body changes and how meds affects you changes. If you have Medicare, it may be more them than your dr. I honestly can't remember if the recommended age is 62 or 65, although it is up to the dr at any age what they prescribe their patients. You can put Prescribing Guidelines for Seniors in Google and more info will come up.

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There, using s a new law preventing primary care physicians from prescribing Xanax or Robaxin to anyone over 62. Does anyone know what this law is called? Supposedly 62 & over are at a fall risk.. Maybe some but not everyone. Seems unfair to single out and place all in one group. What do you think?

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NO,

Sorry I have not been on and saw your question.

An agonist simply refers to the drugs your brain recognizes as opioids; for example Oxycodone, Morphine, Oxymorphone, and on short acting, Percocet, Oxycodone IR.

An antagonist are the ugly addiction drugs they REVERSE the opioid effect and or can put you in withdrawal if you are on an opioid. An old time drug that was mixed is called Talwin if you went to an ER in pain they used to use this on occasion IM inj.

Ultram was created for drug addicts it is a highly dangerous drug. It can partially reverse (antagonist) the opioid effect. Most physicians are not trained heavily in biochemistry professional nurses are; 2 year and 3 year RN's and LPN's or in other states LVN's are not; they have the "duh" give it to them if they get the name right. Therefore, patients often hurt themselves by asking for Ultram when they are on Morphine LA or Oxycodone LA (contins) because the breakthrough is reversing on some level the long acting.

Now this drug is a poison. For those of any age it raises seizure threshold and if you are going to a physician who is an opioidphobic writing you anticonvulsants for pain you are already high because if you suddenly stop the drug you will have SEIZURES and each seizure experienced reduces or stops oxygenation to the cerebral cortex damaging your brain. If you have CARDIAC history this drug is dangerous and if you are a COPDer or elderly and these poor folks are prescribed it like cotton candy KILLING THEM OFF IN NURSING HOMES ON a regular basis; I have gone through such facilities demanding immediate meetings with house staff on not writing this for pain for the elderly in the buildings for in short they are in a home because they do have these issues and treating them instead with Lortab or a regular opioid is safer and kinder to do; why give them WORSE then they came in with?

I have seen patients go psychotic on Ultram, hallucinate, and also become depressed with suicidal ideation. Any physician writing you Gabapentin drugs for pain is a loser as well; you must wean off slowly to avoid seizures (rebound) and further you are gaining weight like an elephant and they are not FDA approved for pain; they are for seizures. There are multi billion dollar legal cases against drug manufacturers and they pay GLADLY for pain specialists use these drugs to protect their own licenses (not help the poor patients) and would rather pay out settlement money then lose the huge profit ratio.

Hope that helps a bit.

P450

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BL,

Go look it up under Texas Medical Board. I am a regulatory expert and they cannot unless they want to LOSE their privileges and the list of doctors doing so is growing larger by the day.

Unfortunately six years ago our entire Medical Board changed to conservatives, this was the fastest way to track QUACK QUACKS as I call the pill mills. Houston was inundated with physicians who had entire typed prescription pads with the SOMA cocktail; either Xanax or Valium, SOMA, and HC. I do not approve of this however, chronic painers in Texas are now forced to go to a pain clinic and they are REGISTERED.

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P450, I got to say, when someone like you who wants to be looked at as a know it all, done it all person, yet your blatant lies, tell me that your looking for attention. Now, there's some of us who can tell good advice from your advice (bul_s***) and you make it so difficult to be patient and understanding towards a very disrespectful person like you. I get a lot of good information and advice from this site, and there are people who truly are caring and helpful that actually know what they are talking about, so be respectful and you don't always have to be a mister know it all. Because you can hurt somebody with your nonsense, I know you're not going to like what I said, but I had to let you know how you came across to me, in one word, sad. This site is good and good people respect it, cause it lets others help each other with good honest advice. P450 I understand and feel you, take care.

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SOMA is not addictive at all.

It is highly sedating so if you are on pain management the combination of opioids called a "cocktail" and pill mills used to write combinations of Soma, Xanax, and Lortab be lethal.

No it is not addictive.

It is something that can kill you and causes after 3 months of use abnormal liver function tests. Make sure blood work is run with this drug.

P450

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P450, you need to post the link to the State Of Texas Law that states only a pain management dr can prescribe pain meds for chronic pain. This would mean that in the State Of Texas a dr that is not a pain managment dr cannot prescribe pain meds to a chronic pain patient.

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bondie, Soma has been found to be highly addictive. That is why some drs will no longer prescribe it and why some states have moved it to a Schedule II med. Soma is not a Schedule II at the federal level.

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My pain management refuses to prescribe soma anymore. I never failed a drug panel, dont abuse meds, soma actually works. Why do doctors think they know what helps you when you know your own perfect body (haha)

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Well, after I had trigger thumb release surgery last summer, I had no trouble getting it.

When I refilled it, though, just a few weeks later, the state required a Schedule II prescription. so The surgeon had to rewrite an Rx that he had granted refills on just a short time before.

When I enquired with the pharmacy, they told me about the Schedule Change, as it had just occurred.

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TEXASMD,

You are very interesting. There is another physician who posts. I am a professional nurse and a published researcher (scholarly).

You practice in Texas, well you do not do PM. In Texas to prescribe for chronic pain you must certify with the State Medical Board as a pain clinic or you cannot repeat cannot do chronic pain clients.

It sounds as if you do Dr. Fix It. Expensive injections which cause scarring and further pain and damage in the future. I have the best surgeon in Texas and the U.S. so I know who to go to for cutting and the BEST are conservative.

I am just amazed really??

Editor's note: We do not verify the credentials of our users and nothing stated in our forums is intended to be taken as medical advice.

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Lucky,

All opioids cause dental erosion and again it is a horrible drug for withdrawal and actually infiltrates your bones. If you think your doctor will outlive you or get busted find a methadone clinic. They will dose you every morning!

I don't know who you think is arrogant but pain clients need empowerment not devaluation.

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