Doctors Willing To Prescribe Pain Medication (Page 29)
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Anonymous Says:
 
Can you tell me about any doctors who can prescribe Vicodin

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2849
P450 Says:
 
BL

SH is not an addict you are slandering SH.

Mary my message will clear in Texas you must be a pain management clinic for chronic pain treatment of any medication.

Ignore the haters messages I will further clarify when my message clears.

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2848
P450 Says:
 
Mary and SH my message to this attack by BL (big loser) is being cleared. Ignore him or her.

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2847
P450 Says:
 
BL you are wrong and Mary and SH ignore this person who is an addict themselves here to cause pain and suffering.

In TEXAS you must be a pain clinic registered with the Texas Medical Board to write class II opioids for a regular patient who repeats. That means physicians here lose their license if they are NOT a clinic and writing regular opioids or even LESS that are orchestrated to pain management. Since you are a chronic pain patient with a history of being so in Texas your GP and a regular psychiatrist (not a clinic registered) cannot do so.

SH is not an addict they prefer methadone.

Hitler during the years of his reign had a shortage of poppy which is where opioids are obtained. He paid big bucks to have a scientist evolve a synthetic pain medication aka methadone.

The stigma for it is one of the best LA pain medications in the world is that it is used and has been for years for opiate addicts in particular in NYC.

BL go see a psychiatrist you are trashing innocent people and stop misinforming them.

Mary was honest which is the first step an addict in pain takes. Further our intractable pain legislation allows intractable pain management even for addicts, however, she cannot obtain from the psychiatrist who she stated she abused from and with. He/she might be able to refer her.

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2846
BL Says:
via mobile
 
Mary, a Dr does not have to be a Pain Management Dr to write Schedule II meds. They won't write you the meds because you were addicted.to.them and in treatment for it. It is.highly unlikely you will be able to even find a pain.management Dr to treat your pain now since you have a history of addiction.

SH. the drs think you want to continue on the same meds at the same dosage that you were on. You can try telling them that you don't want to take as high a dose of meds as you did before. That may tell a Dr that they can treat you since the ones you've contacted are going by the FDA guidelines of.no more than 120 mg Morphine/Morphine Equivalent Daily.

SH, you already have being an addict on.your record. Going to a Methadone Clinic where those with opiate addictions are treated and not chronic pain patients, will it impossible if it isn't already to find a Dr to treat your pain ever.

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2845
P450 Says:
 
SH just catching up. I am now dealing with speaking to several attorneys on line due to the local yokel SSA "workers" being incapable of interpreting regulations so this with the need for a physician are hitting me hard.

I am an excellent candidate for the pump. In 2002 my famous orthosurgeon, my deceased PM Dr. H. and the anesthesiologist who worked next to my ortho evaluated for the pump.

This was prior to P450. Meaning as a test. You can tell by the cost the buccal swab is very expensive. Medicare pays for it however, so for those who have this if their physician is a true authorized PM and trust me some who write are far from this even if registered as a pain clinic they can get involved with the genetic lab and get such a set up for their patients.

SH you are offering folks in need some answers. Yes you were unfairly treated I see this and understand the fear that drives these physicians; Richmond has always had good ole boy politics which drives the Medical Board.

But I would if I were you (and my comp may have to pay for a pump insertion for me) have those referrals ready to help others you are willing to help with the names.

You would do better in Texas; for those with FM the humidity is awful in Virginia ugh.

Peace out <3

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2844
P450 Says:
 
Sue let's use an example here.

1. I have structural and functional injury and pain.
2. Disc ruptures for example; anterior cervical fusion bone/wire/screws.
3. Functional would be systemic RSD now called CRPS which hit body wide within 2 months of this injury.

I was put on PM long acting and short within 2 months of the injury.

No one could do P450 evaluations on a viable level until around the time I was diagnosed. A specific genetic lab analyzes samples, then does the DNA coding. The physician is sent a list of drugs that meets the DNA of my specific profile.

People who are on my level only fall into 3% range; 99% are northern European white females for example. I am that category for sure.

Any type of opioid pill does not work so all the years they treated me with thousands of pills they were EXCRETED too fast, and were needed in doses very close together.

The key here is pills did not work; if I had any relief it was never enough. This led to a permanent fight or flight response, adrenal insufficiency and in short you will die of a MI or CVA in most cases; in 2004 I was in house 19 times with hypokalemia and CRF.

MI is myocardial infarct aka heart attack.

CVA is cerebral vascular attack aka stroke.

Hypokalemia is low potassium and K+ has a fine line of normal in the body it must be stable or you suffer one of the above.

CRF is chronic renal failure due of course to low K+.

Over time the inflammation due to the brain not having adequate endorphins or the superficial endorphins (opioids) ot doing the job led to actual inflammation in the brain. My specialist does adrenal serum diagnostics on all patients which shows high cortisol levels for example there are genetic markers now with P450 going hand in hand with all else described.

Someone like me can do PM only with things such as a patch or liquid fast acting. Due to my having many allergies including fillers, flavorings, and dyes put into generics I have to be on brand. However I have found one generic on liquid that is almost not touched with those fillers that shut my throat or stop my breathing. But until I lost my specialist due to California regulations penalizing out of state (he dropped 30 of us all at one time) I was on high dosages which finally stabilized me as of 3 years ago and I went from 80 pounds (am five nine so was dying literally from pain) to a healthier weight of 125.

I hate talking about myself but this BL is blasting people who are going to leave here without help.

I need a good specialist in Texas or Louisiana but will get approval if I must travel again so anywhere in America right now.

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2843
P450 Says:
 
Sue they are clearing my technical reply I also have several I have being cleared on BL who has done me (so many of you a disservice).

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2842
P450 Says:
 
Sue there is nothing wrong with my brain. Damage occurs and this is scientific and proven I suggest you google P450 and some reading due to your actual DNA or genetic output. The brain is more then just where opioids block endorphins. When certain labs are taken and inflammation is literally present in the brain which is not a bloodborne barrier remember the brain is bathed in CSF (cerebral spinal fluid) which is why a pump requires far less opioid with EXCELLENT results then you have damage due to poor treatment or outcome of pain management.

If your physician wants to test your genetic P450 the test can be done by buccal smear and either you will pay for it if not insured or insurance will. When I was tested the cost was $3,500 and I was in a test study.

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2841
Sue Says:
via mobile
 
Well, P450,you said the pain has reached the brain. The receptors for opiates are in the brain. I don't a actually have the report of the gene analysis for p450. Calling for a release of it now. This was done before the pump was implanted, a blood analysis at EVMS in Norfolk Virginia. Good pain drs there!! My Dr. Hated Methadone and that's what I took. He never saw me after that, they did maintain my pump till I found a new Dr. I never got to tell how I became a psychotic case. Would not matter, I think.so, what is wrong with your brain, P450?

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2840
P450 Says:
 
SH I am a BS RN MCVH is my alma mater that is where I had my catastrophic injury I have given you the female at the one group and link she is the first PM who way back in the 90's started me on Oxycontin and Percocet for SA (short acting) and NG is (no good). You if you are down the Beach area can get over by Roanoke (grrrr) if you can make it to Richmond, VA. There is only one physician left Dr. Balint retired and his associate for I heard later there was also a Charlottesville office is on his own. We have got to get you help.

The real story is this. In the 90's only 3 states had LEGISLATION (law) protecting patients with IP (intractable pain); the Commonwealth of Virginia, the State of Texas, and the State of California. In short this means that a physician could treat including high dosages those with IP properly with opioids.

Dr. Bill who now is in Federal Prison for overprescribing and the DEA literally proved somehow that some of his clients might have been selling I do not believe it but he's in prison caused the Commonwealth to tighten up. Some of his patients the first go round appeared on national news stating 'no physician will help us we need our medications we will die' and rightly so; Dr. Bill used progressive opioid therapy which means as the physical tolerance occurs you can go higher to truly relieve the IP. No one reached out and there are videotapes at these major news stations showing people begging for help in Virginia and not one doctor would help them. They committed group suicide and died. Well they went after Dr. Bill again, and this time my progressive pain specialist in Houston told me he was going to take the overflow if Dr. Bill went to prison the second time. I will never forget Joel for his efforts; it means WE had less time with the most humane physician I've known for IP but that no lives would end due to imprisonment of this doctor.

Dr. Bill is serving a very long or life sentence in federal prison right now, and Dr. H. took the overflow but we lost Dr. H. to sudden renal carcinoma in 2010. Due to my severity and complexity I was forced to the referral to the famous Dr. T. in California where I had to go for 5 plus years. If regulations had not changed for out of state patients I'd be still out there.

We need to get you over to the one remaining physician. The Hope Clinics are shut down remember I have not done this for years due to my health but have tried to provide folks here with potential referrals based on what patient responses are on several mechanisms I have for feedback and knowledge. Years back I've literally referred suicidal IP clients in countries where opioids are not used (INDIA is one).

Do this SH.

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2839
SH Says:
via mobile
 
P450- who is NG? I thank you for a referral to p450. Xxz DX xRoanoke area, but no way to get that far. You say Richmond is dry? I find that hard to believe!! There's the med school, MCV. If my family helps, I am a month away from daily methadone. Have to drink it. Would I benefit from a consultation with a lawyer?

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2838
P450 Says:
 
Everyone beware of BL

He or she is intentionally condescending on all the posts where folks need help for intractable pain.

I do not travel from state to state seeking high levels. I was forced into a study like the lab rat rare cases are to do P450 buccal swab the category I fell into was ultra rapid opioid metabolizer (very rare) but even if you under metabolize the need for higher level is likely. According to Dr. F. Tennant "anyone showing a genetic defect in P450 will likely not fall into normal need but HIGHER the way medications are compounded are for normals hence even a gene defect on LOW should be started slowly but ultimately will need higher medication requirements."

The lab who evaluated us gave him the exact medications that work. Only 3% of the population is ultra rapid opioid metabolizers but there are many who tell their physicians "I am still in pain" who will show abnormal diagnostics and they are reaching out in honesty due to the fact they are either getting only a short amount of pain relief or none or a LA medication is out of their body in 15 minutes.

Therefore, I have a card I carry in the event I am admitted unconscious in an ER that my requirements are immediately addressed. Due to California regulatory changes now after 5 years with the famous Dr. T. not only myself but 30 out of state people were removed. We all had the same affliction.

Because I am a professional and did as he said (put aside a percentage each month in the event pharmacies run out which they do in California or weather prevents you from getting here) I did not die; but I am well under my 50% normal and realize I will likely seek a physician who writes this or does a pump on me.

I hesitate to explain anything more most people here know who is true and honest and a few are here to laud over everyone like bad and abusive parents.

I do need a physician when I have to literally take the insurer and employer back to court when I have a 100% medical award for life and have not had a script written for almost a half year I am in need. Certainly I will travel I know what is going on out there; we will see changes when Odumma goes out for scientific knowledge shows that quality of life and outcomes are HIGHEST for those who are given pain management for IP.

But this may take several years. Odumma like I've said before wants to put anyone over 30 on the firing squad for any health issue.

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2837
P450 Says:
 
SH don't give up I may be MIA and you can see what I've said to BL he/she whoever they are clearly judges everyone here is bossy as an "old hen" and ultimately we in most part are here due to immediate need. What about the provider I have given you was that NG?

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2836
SH Says:
via mobile
 
Yeah p450 , I was told drs think I want a particular medication. I just show the last meds taken by last Dr. I was given mscontin 120mg plus oxycodone for short acting med. I am told to send records and a decision is made without seeing me. This is wrong. So, off to methadone clinic. ...

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2835
P450 Says:
 
BL further I do not travel looking for physicians I met one who unfortunately is having renal issues so severe we spoke as "peers" in fact he will have to be seen in NY it is that severe. He immediately determined I could see his associate her issue is she cannot for whatever reason do WC--that could be due to their own policy and procedure. When I do referrals I have contacts throughout the world and NO I am not in the mode where I am going to do them or reach out to anyone at this time.

I have avoided a lengthy diatribe on my history but my famous physician has literally written she has progressed to Central Pain Syndrome (the brain is literally showing signs which labs show of the pain reaching the brain) which can result in death.

If you know so much it sounds like you know only about YOU not others. To give new posters an attitude as if you are an expert at this point only chases them away. Are you a physician or lawyer? If so you sure know nothing of intractable pain.

I came here to find a referral; my first physician of 10 plus years DIED.

Due to his handling of complexity and no one in Texas being of that caliber I had to go to California for over 5 years.

Who is going anywhere? Not me buddy get your facts and attitude off the board.

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2834
P450 Says:
 
BL my P450 genetic DNA testing showed an ultra rapid opioid metabolizer. The genetic lab that does this $3,500 test (2012) it is higher now and done by buccal swab specifically tells the physician what medications work; oral pills do not work on people like me I could take 40 Dilaudid and they would get to the GI and be nonsolvent.

You and people like you are trolling here you say nothing kind you are here to cause issues for shame!

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2833
P450 Says:
 
BL I am going to correct you again for you may have something missing mentally whereas you do not read what people say or understand plain English.

Dr. T. (and I am in the study) did the buccal swab for all of us. Since he only takes rare cases he came out of retirement due to the death of a few pain specialists handling the worst cases; that diagnostic ran $3,500 in 2012 and it is a DNA specific blue print and those two medications are the only ones that work for me.

1. The lab a famous one states this by number caliber and gives the doctor a blue
print for each patient who is evaluated.
2. This won't change.
3. I literally have anaphylaxis to over 400 medications, 100 foods, and another
miscellaneous things.

Bother someone else who is not suffering IP~

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2832
P450 Says:
 
BL they have not cleared the message I wrote you clearly you are an ADDICT by your statement.

I have been on well under fifty percent of what I should be on and was the first to mention the morphine equivalent rule. Due to my complexity I had to see the top specialist in California which meant flying to that doctor for 5 years. Perhaps you do not have a physician because although I went frequently the first year I was near death and that is what happens when you are forced to see a specialist. After that year the 3 month of medication rule went to effect. Odumma is behind that.

Clearly because I am both psychiatric specialty and researcher you are an addict you are quoting AA which tells me your issue.

Mary in Texas any physician writing a class 2 must be classified a pain clinic. If that medication caused you addiction and you have headaches there are other medications your psychiatrist could try he could not write you class 2's unless he is also a PM specialist is he if so it's due to rehab and your addiction.

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2831
Mary Says:
via mobile
 
I used to take hydracodone 10mg for chronic headaches prescribed by my psychiatrist. But I abused my medication for one year went to rehab because I built a tolerance to it. Now my psychiatrist can't prescribe it. My family physician in Denton, Texas won't prescribe it at all. I have chronic headaches and migraines, I need help!

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2830
P450 Says:
 
BL you are a joke. I was forced to travel to California or would die. You are not seeing a pain specialist. FURTHER you are clearly not reading. I am on about 30% of my high dosage. It really pisses you off to hear I am a genetic P450 and given what is supposed to be given that someone (not you) received proper treatment. I think you are a troll on this site inciting anger in people needing support. Further you are now quoting AA mantra "doing the same thing getting a different result" what a joke so let's see BL is an addict.

I've seen one physician and am seeking one in Texas or nearby if possible. The Texas Medical Board underwent changes in 2010 limiting all doctors who do PM to register as a clinic. So normals had difficulty. Not one time BL did I say I MUST have but I must have a physician. I am too smart for your BS. Don't troll pain patients, if you find a fellow addict then talk to him or her but leave Pain Patients alone!

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