I Need To Find A Doctor In Fort Worth Texas That Prescribes Pain Killers (Page 4)
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Does anyone know a doctor that is good about prescribing pain killers like hydrocodens 10/325 in fort worth Texas? I am a diabetic type 1 that has a lot of pain and really in need of a good doctor that can help me out and not think i am faking pain.

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128

I recently moved to Texas from the Upper Peninsula of Michigan and I,haven't had my meds in almost 3 months. It's killing me. I have a lot of pain issues as Well as anxiety and no insurance at the moment. I'm not sure what to do or where to go. I'm near Fort Worth. Any help is appreciated. I can barely get around right now.

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127

Yea but the Doctors are allowing this to go on as well. They know how very effective these meds are to people and how much it gives people a generally better quality of life. They should be coming together and telling the government asses, that think they are doing a good thing, yea bust the ass of the jerks that are ruining this for all of us! But STOP GETTING IN BETWEEN DOCTORS AND PATIENTS! ! These good doctors need to stand with all of the "supposedly free" Americans. Safety and p.c. bullshiite is destroying this country. And they wonder why Trump is winning.

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126

I don't see Dr. Christopher Ince, but I know who he is. He's board certified in Anesthesiology and Pain Medicine. My doctor knows him and says he's a good doctor. He won't just prescribe pills or follow behind another doctor. He'll probably want to try other treatments before he goes the route of opiate therapy. These days doctors are under the microscope and their going to try everything before opiate therapy so there's no question about you being on long term opiate therapy. Gone are the days of doctors prescribing opiates because you say you hurt. Right now is a bad time to be changing pain management doctors because you'll be repeating scans, emgs, other diagnostics, taking non-narcotic medicines and medical procedures. Just like you've never been in pain management. I had this all happen to me 5 years ago when my original doctor retired. Even with medical records in 2 folders about 8 inches thick (both). I had to repeat a lot of stuff all over again to get back to what I was taking and now I'm on even more, but I'm doing better because of the medication increase. Good luck to anyone changing doctors because it's back to square one these days...

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125

Dr Ince - he's in hurst. He's a pain specialist. My brother sees him after having a rollover ejection last summer, breaking his neck and shattering every other bone! He seems content w the doctor.

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124

Andorra, you need to see a Pain Management Dr. They can prescribe you extended release pain meds that last 12 hours, if they think they are indicated.

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123

I have fibromyalgia and RA also, along with OA, migraines, chronic lower back pain, and spondylosis in my neck. I have never been able to get anything stronger than Tylenol III since they changed the class of hydrocodone which never worked for me to begin with. My rheumatologist has me on tramadol and flexaril for pain but that stuff doesn't work either. I don't want to have to take a handful of these meds to get them to work. I just want 1 drug that will knock my pain out fast. Do I need to see a pain management dr in order to get any stronger meds and does anyone know of one in Fort Worth that prescribes good ones that actually work?, ,

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122

I'm in. Taking me down from 45mg MS 3/day & 3/day 10/325 Hydrocodone, to 30mg MS/day. Have several proven on paper reasons. New dr at clinic. Has not even read my file.

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121

TexasMD, for those that have been on strong pain meds for a while, especially at high doses, it will not be pleasant to reduce the dosage or to stop taking it all together for a whlie. But, it is better than not having your pain treated at all. Once someone has been off of the pain meds for a while, they require lower doses and often meds that arent as strong as what they were on before. They also need to adjust their life style and use non medications forms of pain management. I've heard a lot of reasons, ie excuses, as to why someone can't, ie won't, do this but is is getting to where if you want to continue to have your pain managed, you have no choice. It is better to reduce some of your activity than to not be able to do any of the things you want to do. let alone need to do.

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120

Some physicians tell patients the "can not" prescribe but really mean "will not" prescribe. We have a few folks call saying that and we find out that their MD has been busted by the feds for fraudulent prescribing (feeding prescriptions to those with no medical justification). I just hope the real patients are taken care of but unfortunately some (or maybe many) have become used to their levels of medications and are reluctant to reduce or self manage without meds.

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119

TexasMD, what you said about Texas applies to every other state. I know that many drs lie to patients and tell them these things which creates and adds to the misinformation. We need to trust our drs to a point, but not so much that we don't verify what they tell us. Drs aren't perfect, they do make mistakes. And sadly, some lie.

I remember when Soma first came out. Our dr wanted to prescribe it for my severe muscle spasms and was telling me it was much safer than valium. I told him that I didn't take medications that were just out on the market and that I was willing to bet him that it wouldn't be long before they discovered that Soma had the same dangers as Valium, if not worse, he replied "you're probably right."

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118

I do not wish to be confrontational but there are so many half truths and guesses in these posts that I almost do not know where to begin.
Soma rhymes with coma. I do not know of any physicians who will prescribe Soma because of its side effects. Not saying it does not have some application but very rare.
The DEA and FDA are NOT preventing legitimate prescribers dosing appropriately. They are coming down on criminal activities by some physicians, Nurse Practitioners and Pharmacists but only when there are life and death type concerns. The local DPS and Medical Boards are really the controllers of prescribing habits. If you want the facts google the Texas Medical Board Rules Chapter 170. It is not hard to read and will define clearly the rules for the treatment of pain in Texas.
Do not bother feeding the mouths of lawyers by mounting a legal battle, though I am not sure which attorney would take the suit anyway. The best approach if you want the rules to change is to approach your local state representatives (who were voted into office). Tell them the story and how you are affected. They can take this to the Health Committee in Austin next spring (when the house is in session) and if all agree then changes would be made. Realistically however do not expect change. There are too many deaths due to overdose of medications for the rules to be relaxed, and it is incumbent on prescribers to ensure there is a legitimate reason for the meds being prescribed, don't you agree!!
Finally do you realize that the USA consumes over 90%, and arguably over 99% of the WORLDS production of Hydrocodone. There may be other drugs in other first world countries that are being used but my understanding from colleagues in the UK, France and Germany is that they do not advocate long term treatment by oral medications except for extremely rare cases such as terminal cancer etc.
I am confident that this post will be hated by those who "need drugs" but these are the facts as of today.

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117

I would like to know what pharmacy carries the white oval hydrocodone with 176 on one side and a line on the opposite side in Dallas, TX.

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116

A DO (Osteopathic Physicians) can do anything that MD's can do.

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115

Yes, a DO can write for them. They are medically equivalent to an MD. Be careful who you accuse of being misinformed.

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114

TexasMD, I have said for a while that those that the vast majority of chronic pain patients that are having problems receiving pain management are the ones that don't want to do what they need to do to be prescribed the pain meds. For some reason people seem to think that there is a law that entitles them to pain medication when they have pain. Some patients don't want to do what is needed to manage their pain by using non medication forms of pain management in addition to pain medication. They just want to take a pill and do what they want to do. They don't want to adjust their life style. They want to keep on doing things like nothing has happened. They blame their drs when they get dismissed for not obeying the rules and end up in withdrawals. They blame their drs for not continuing to increase their pain meds when the previous doses not longer are as effective as they use to be. They blame the pharmacist when the pharmacy doesn't have the quantity of pain meds their prescriptions are written for.

All patients need to be responsible patients, especially chronic pain patients. We have to do our part to stay as healthy as possible and to require as little medications as possible, especially long term. We also have to do the things our drs ask us to do so they can provide us with the right care. Chronic pain patients need to keep up with federal and state laws that govern their pain management and the medications they take for it. They need to do all they can to keep their pain level as low as possible so they require the least amount of pain medications.

The Pharmacists Responsibility that you're referring to is called Corresponding Responsibility. If I remember correctly, there is a formula for figuring out DEA numbers, or their use to be.

Mandy Shea, I think that things like drs writing prescriptions on computers and printing them out is a step towards reducing forged prescriptions. But you still have a lot of drs that still write out prescriptions on their pads. Most drs that still write their prescriptions out by hand don't carry their prescription pads with them from one exam room to another like they use to and are careful about where they pads are left. That does help reduce the opportunity for prescription pads to be stolen. But, if someone wants drugs bad enough to forge a prescription, they will find a way.

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113

Ms Shae your points are well taken. In my case the Rx pads were not stolen, only the numbers from them and, as you know, those numbers are on every Rx that leaves the door of our offices. They can be accessed by the patient, their family, the pharmacy tech and pharmacist, and probably others too, all in legitimate circumstances.
I do have a problem with the word "right" though. Physicians and pharmacists have the right and indeed the obligation, to practice according to their codes set up by the federal and state governing bodies. The patients seek the opinion and assistance from physicians who, if they are not comfortable at any time with the medication levels or any other aspect of a patients care, are in no way obliged to prescribe any medications at all, and the pharmacist equally is not obliged to fill a prescription even if it is written by a binafide doctor to an equally binafide patient. These are the rights given to us and demanded of us in order to maintain our licenses.
That there are patients in pain not receiving pills to mask there pain I do not question, however there are too many of my patients who want pills from me, but are unwilling to follow the treatment plan, for example lose weight (with a dietary consult), getting blood pressure under control, exercise (within reasonable limits of course), get up in the morning and do something with your life, stop smoking, cut down on drinking alcohol and increase intake of water (beer does not count as water). Is it any surprise that physicians become a little reticent to just go the pill route?
I wish you luck in finding the treatment you need for your painful condition. ,

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112

I did not post anything that was knowingly inaccurate. I have no reason to doubt my PCP, pain mngmt doc and long time regular pharmacist who've all said C2 scripts must be hand written. I agree there is a lot of prescription fraud out there. However, this does NOT give certain doctors and least of all our government the right to treat legitimate pain patients like they are criminals, too. Legitimate pain patients DO have the right to be treated fairly and to have their pain managed as well as possible. Sadly and infuriatingly many doctors are no longer treating patients for pain. Not because they don't care but because they are tired of having their practices dictated by our government and/or insurance companies. As an MA for many years I know of three docs personally not to mention the many posts on here of patients looking for new pain management doctors because the ones they had stopped doing the same thing. Something I do find interesting, Texas MD is that you said you've had your script pad stolen before, twice even I believe you said. I know as an MA I've written hundreds of scripts on behalf of the docs I've worked for, some of those being controlled substances. Of course, they were all signed by the physician before they were ever given to the patient. The one thing I know we never did is leave a pad wear a patient could gain access to it. I personally kept the one I was using in my scrub pocket at all times. I can't think of a single instance where we had a patient steal a pad or call in a script fraudulently under any of the docs I worked for. I'm not saying you or your office did anything wrong and I agree junkies will go to most any lengths to get what they want. But, there has to be some accountability on the part of the docs and their offices when a patient is allowed easy access to the script pad. Unfortunately, I don't see the problem of prescription fraud ending or getting better anytime soon. Therefore, those of us who have legitimate pain will be the ones who continue to pay the price.

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111

Mandy Shea, if the prescriber and the pharmacy Both have approved software they can transmit Schedule II prescriptions electronically.

Electronic Prescriptions for Control Substances (EPCS)-Texas Department of Public Safety (DPS) – Schedule II Controlled Substances-pharmacy.texas.gov/files_pdf/EPCStexas.pdf

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110

You are absolutely incorrect. Texas approved C2 eRx in October 2014. It took a while for pharmacists to learn that this was OK and since about February of this year we have ONLY eRx C2's. Smaller pharmacies and remote locations may not accept, and indeed they have no obligation to do so, or for that matter accept any Rx. Please get your facts straight before you post such inaccurate information. This can easily be verified with the Texas Pharmacy Board, Texas Department of Public Safety Prescription service (which is being moved to the Pharmacy Board as of October 2016), or the head pharmacists at the large chain corporate offices. I have had my creds stolen twice and criminals made poor prints of regular and C2 pads and miles filled huge amounts of meds under my name and presumably sold them on the street. We are working with the local and state law enforcement to take down these criminal rings and the sketchy pharmacists who should have known better than to fill fraudulent prescriptions, as they so obviously were. I hope we can get the Texas legislature to mandate all prescriptions be e prescribed within the next 5 years. Several other countries and two of our US states already have this mandate. This will take a lot of the fraud out of this serious public safety risk.

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109

As I've said with regards to your posts before...you clearly have no idea what chronic, debilitating pain is. But, I'm willing to place a wager that if you or someone close to you needed pain meds one of your fellow docs wouldn't hesitate to write something for you. As for schedule 2 drugs being escribed...you say you're in TX. Any physician and/or pharmacy I've ever spoken say they absolutely cannot be sent that way. I would assume you are aware this is because it has to be written on a triplicate pad.

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