Pain meds

[sgt. rock]

I posted a thread in the past about how even though i shattered my 3rd and 4th vertibrae (broke my neck) and am paralized the county medical center wont give me anything stronger than motrin for pain since 15 yrs ago when i had my accident i was honest with my docter and said "I do every drug as often as i can"...
Hippie recomended that i get copies of my medical records and x-rays/MRI's,ect. and go to another doctor and explain that my pain levels are through the roof and "you can see from my medical records the severity of my injury,ect."
Well,i went tto pick up the release forms for my records and they wanted to know,spacificly which medical records i wanted copies of.Since i was in the hospital for over a year after my accident I assume there are stacks of them... Should i ask for copies of the x-rays (MRI's) right after my accident and of after my operation where they remade my 3rd and 4th vertibrae out of a piece of my pelvis and copies of the original diagnosis/examination right after the accident?Is that being spacific enough?
ANYTHING else?will hospitals make/give you copies of x-rays/MRI's?

"Well,i went tto pick up the release forms for my records and they wanted to know,spacificly which medical records i wanted copies of.Since i was in the hospital for over a year after my accident I assume there are stacks of them... Should i ask for copies of the x-rays (MRI's) right after my accident and of after my operation where they remade my 3rd and 4th vertibrae out of a piece of my pelvis and copies of the original diagnosis/examination right after the accident?Is that being spacific enough?"


X-rays, MRI reports, Dx, intake summary, and discharge summary should do it.
And yes they will make copies of MRI's for you, their reports, make hard copies or put them on disc.

Good luck!

[sgt. rock]

Originally Posted by copelandia

"Well,i went tto pick up the release forms for my records and they wanted to know,spacificly which medical records i wanted copies of.Since i was in the hospital for over a year after my accident I assume there are stacks of them... Should i ask for copies of the x-rays (MRI's) right after my accident and of after my operation where they remade my 3rd and 4th vertibrae out of a piece of my pelvis and copies of the original diagnosis/examination right after the accident?Is that being spacific enough?"


X-rays, MRI reports, Dx, intake summary, and discharge summary should do it.
And yes they will make copies of MRI's for you, their reports, make hard copies or put them on disc.

Good luck!

Thats exactly what I needed to know.
Thanks.

[sgt. rock]

P.S. How does anybody (with a legitimate reason or not) walk into a Doctors office for the first time and say "I need oxycontin" (percodan,whatever) without looking like they want drugs?Do you have to be nieve about it like "i dont know what i need but darvocet/tylenol3's dont help" or be honest and say "im' not a recreational opiate user but for some reason i have a very high opiate tolerance and even 5,6 or 7 darvocets/tylenol3s/vicadin wont help my severe pain.I give you my word i wont abuse them but i would like a prescription for oxycontin or somthing equivelent." ?
Oh,and hippie recomended mentioning that im' alergic to codene,ect. but ive' seen that senario on e.r. 3-4 times.kinda' suspicious

[Hippie3]

lol
if you even mention the word
oxycotin
you won't get shit.

[sgt. rock]

Originally Posted by Hippie3

lol
if you even mention the word
oxycotin
you won't get shit.

Thats what i thought.I dont know the different kinds of pain pills,whats about 10 or 20 times stronger than a darvocet or vicadin or tylenol3?

Show them your history with medical records. Leave out any hints of drug seeking or abuse. Describe your pain. Let them know you are now open to medicating it and probably shouldn't have avoided doing so this long.

Then let them talk about medication options. You might have to be willing to try or have a written history of utilizing some that just aren't strong enough first.

Also try to find a anethesiologist that specializes in pain or a pain clinic that truely works with narcotic medications. before making an appointment a few anon phone calls asking if they manage long term pain patients with pain meds should find you what you need. If they don't accept pain patients ask them who in your commuinity does. Eventually you will find the people that aren't afraid to appropriately medicate. Then call them and make an appointment.

Good luck!

P.S. Nausea/vomitus, is common, even with small doses of codiene (more so than any other narcotic and a common reason many patients can't take it).

[sgt. rock]

Originally Posted by copelandia

Show them your history with medical records. Leave out any hints of drug seeking or abuse. Describe your pain. Let them know you are now open to medicating it and probably shouldn't have avoided doing so this long.

Then let them talk about medication options. You might have to be willing to try or have a written history of utilizing some that just aren't strong enough first.

Also try to find a anethesiologist that specializes in pain or a pain clinic that truely works with narcotic medications. before making an appointment a few anon phone calls asking if they manage long term pain patients with pain meds should find you what you need. If they don't accept pain patients ask them who in your commuinity does. Eventually you will find the people that aren't afraid to appropriately medicate. Then call them and make an appointment.

Good luck!

P.S. Nausea/vomitus, is common, even with small doses of codiene (more so than any other narcotic and a common reason many patients can't take it).

So if i were simply looking in the yellow pages i would choose a private anethesiologist not a gereral medicine or family practice doctor?I thought they mostly knock out surgery patients...in my area tn the yellow pages i see ads for pain management/chronic pain centers but i figured they'd be all into methods other than strong pain meds.coiene dont make me sick but several do nothing for severe pain.

[Ali]

You have to 'climb the ladder', keep bringing your pills beack, alwayws say your pain is a '9'9 or '10', slowly climb with new excuses here are some sugestions and basically the ladder:

Motrin (Too weak)
Ultracet (Too weak)
Tylenol 3 (Upsets stomach)
Darvocet (Too weak)
Vicodin (Makes me itchy) (Hydrocodone)
Percocet (I have to take too many)
Dilaudid (Hydromorphone)
Oxycontin (Oxycodone, time released)

There are other drugs that fit in the ladder, I am just not thinking of them all right now.

[Soliver1]

You have to skate the line between drug seeking behavior and honesty.
Remember that these people (generally) can tell the difference, no matter what
you tell them, so your best bet is shopping around for a doctor who is either
very understanding, an idiot, greedy, or a combination of the three

Try pain management forums online, see if you can find out a (ahem) understanding
doc in your area- this is easier if you live in a city, etc.

good luck,

sol

Exactly. Call a private anesthesiologist or private pain "specialist" and ask if they manage medications of pain patients.

From what you tell us here, remember you deserve these meds. You deserve pain meds as much as a diabetic deserves insulin. As others have said here, be honest with them about your pain.

You are right that many of the pain clinics are into "other methods". Some are chiropractors, or "multi-discliplinary" centers with accupuncture, PT, etc. A few of those will also incorporate long term medication management.

Most family Doctors will be too afraid to take on a pain patient. They may know who to refer to however.

Finding an onilne forum focused on pain with recommendations to your area is a good suggestion.


Good luck.

Originally Posted by hm13666

So if i were simply looking in the yellow pages i would choose a private anethesiologist not a gereral medicine or family practice doctor?I thought they mostly knock out surgery patients...in my area tn the yellow pages i see ads for pain management/chronic pain centers but i figured they'd be all into methods other than strong pain meds.coiene dont make me sick but several do nothing for severe pain.

[sgt. rock]

Originally Posted by copelandia

Exactly. Call a private anesthesiologist or private pain "specialist" and ask if they manage medications of pain patients.

From what you tell us here, remember you deserve these meds. You deserve pain meds as much as a diabetic deserves insulin. As others have said here, be honest with them about your pain.

You are right that many of the pain clinics are into "other methods". Some are chiropractors, or "multi-discliplinary" centers with accupuncture, PT, etc. A few of those will also incorporate long term medication management.

Most family Doctors will be too afraid to take on a pain patient. They may know who to refer to however.

Finding an onilne forum focused on pain with recommendations to your area is a good suggestion.


Good luck.

I always thought that sole job of an anesthesiologist was to administer the required amount of a drug that it takes to compleley relieve the pain,keep the patient unconcious or achieve the desired effect without effecting the patients breathing,making them sick,ect. FOR A DOCTOR or to administer local anestetics before surgery FOR A DOCTOR or possibly set up a morphine or fentenyl regimine for dieing cancer patients FOR A DOCTOR...A private anesthesiologist sounds kinda' fishy...and kinda' fun
Im' gonna look in the yellow pages tomorow.Thanks'

[Lefty]

If you even hint you know what Fentanyl is, it's obvious you've done some research. There are some good suggestions in this thread, but a warning should be issued. If you doctor shop & get different scripts from different croakers, take them to different pharmacys (they are networked, I mean different companies, not different locations) & NEVER get which script goes to which pharm mixed up or you will get in MAJOR shit. Your ass can get 5 years for doctor shopping/multiple narcotic scripts. Forget the charges but believe me they are nasty!

[sgt. rock]

Originally Posted by lefty

If you even hint you know what Fentanyl is, it's obvious you've done some research. There are some good suggestions in this thread, but a warning should be issued. If you doctor shop & get different scripts from different croakers, take them to different pharmacys (they are networked, I mean different companies, not different locations) & NEVER get which script goes to which pharm mixed up or you will get in MAJOR shit. Your ass can get 5 years for doctor shopping/multiple narcotic scripts. Forget the charges but believe me they are nasty!

Im' a total hermit partly due to my depression and partly because im' ashamed of what a piece of shit of a human specimen i have become (i dont think its agoraphobia or anything like that) but i havent left my house in 7 years.Once i almost bled to death once im' 99% sure i had a heart attack and other life threatening medical problems but i will never go to the hospital.(i know how stupid that is) anyway,i had my accident in 1990,they refused to give me any pain meds for 4 or 5 years and i havent tried since.Ive never had a single prescription for any kind of pain meds in my life exept once from a dentist a long time ago.

Thought worth sharing...

You might possibly want to consider another treatment than narcotics. Narcotics can exacerbate some depression. However if you are depressed from being in pain narcotic treatment might be a good route. I think it would be worth a try to see if something like nuerontin could help without having to go the narcotic route.

Narcotics can definitely bring on a personal pity party much like alcohol can.

[Hippie3]

if i were a doctor
i might conclude that
your pain must be tolerable
seeing as how you have been
managing for years so far.
a few visits to the hospital
complaining of intense pain
may be needed to document
your claims.

You make a good point with having tolerated/managing pain for so many years. However I would suggest not visiting the hospital complaining of pain and seeking meds as this is the route most likely to get one labeled as drug seeking.

Of course a good route may be to visit the hospital ER as you suggested, then refuse pain meds, and just demand diagnostics to "fix the increased pain". A record of describing pain yet refusing meds might be worthwhile. Then a pain clinic would see that the patient isn't just trying to get a narcotic fix and more likely be open to long term medication, narcotic or otherwise, if needed.

The best route in a perfect world would be to find the right pain clinic then go and be honest as you have here. Admit having managed pain for years, admit the despression, in addtion share the interest in finally giving in to treating the pain. As stated before an online pain forum maybe able to direct you to the right local pain clinic; skipping the drama of emergency rooms,etc.

Originally Posted by Hippie3

if i were a doctor
i might conclude that
your pain must be tolerable
seeing as how you have been
managing for years so far.
a few visits to the hospital
complaining of intense pain
may be needed to document
your claims.

[sgt. rock]

Originally Posted by copelandia

Thought worth sharing...

You might possibly want to consider another treatment than narcotics. Narcotics can exacerbate some depression. However if you are depressed from being in pain narcotic treatment might be a good route. I think it would be worth a try to see if something like nuerontin could help without having to go the narcotic route.

Narcotics can definitely bring on a personal pity party much like alcohol can.

Although i wanted thenarcotics because of severe chronic pain I was also thinking that when the depression gets so bad that i wish i could die and i dont hyave nothin' else i could take i could take 2 or 3 or 4 pain pills for the narcotic euphoria,not a good plan?
aside from paxil,prozac,ect. that just make me feel wierd/not quite right are there any mood elevators or somthing that lets you still feel like yourself,not wierd,but only happier?

[sgt. rock]

Originally Posted by Ali

You have to 'climb the ladder', keep bringing your pills beack, alwayws say your pain is a '9'9 or '10', slowly climb with new excuses here are some sugestions and basically the ladder:

Motrin (Too weak)
Ultracet (Too weak)
Tylenol 3 (Upsets stomach)
Darvocet (Too weak)
Vicodin (Makes me itchy) (Hydrocodone)
Percocet (I have to take too many)
Dilaudid (Hydromorphone)
Oxycontin (Oxycodone, time released)

There are other drugs that fit in the ladder, I am just not thinking of them all right now.

is there anything stronger than percocet but less potent than dilaudid or oxycontin (the 2 i REALY want) because asking for either of those would be a mistake. Should i NOT ask for a spacific drug? just explain my pain?

[kaysuds]

when the depression gets so bad that i wish i could die and i dont hyave nothin' else i could take i could take 2 or 3 or 4 pain pills for the narcotic euphoria,not a good plan?

hun. there are better treatments for depresion then doping yourself out. please consider treating your pain and depression seperatly.

[Hippie3]

lol
hm just wants the fuckin' dope,
all the rest is
just BS
i bet any decent doctor
spots his ruse at the door.
euphoria indeed

[sgt. rock]

Do antideprssants REALY WORK? Im' not talking the "do you feel ancious in large groups of people or feel uncomfotable in social settings?" type bs im' talking "life is hell,wish i could die" type serious depression,without making you feel kinda' not yourself or tranqualising you but make you feel just like yourself only happier? mood elevators?

[sgt. rock]

Originally Posted by Hippie3

lol
hm just wants the fuckin' dope,
all the rest is
just BS
i bet any decent doctor
spots his ruse at the door.
euphoria indeed

Heres the real poop,I do have level 10 excruciating neck pain but only about 2-3 times a month.I did want the pills mainly just to have dope/take to get high i admit but i do badly need 4,5 or 6 a month for pain,the rest your right about.
You think im BS you completley?think what you want.
My mom gets darvocets for back pain,barbituates for sleep,she used to get valium and black beauties for weight loss...Sure im' a doper,a doper w/ a f'kin' broken neck! but nothing but motrin for me god forbid i catch a buzz.

[kaysuds]

when the depression gets so bad that i wish i could die and i dont hyave nothin' else i could take i could take 2 or 3 or 4 pain pills for the narcotic euphoria,not a good plan?

They often do work which is why the are abused. Most of them just screw with your serotonin levels. You will still be your charming self, just less miserable.

[sgt. rock]

Originally Posted by kaysuds

They often do work which is why the are abused. Most of them just screw with your serotonin levels. You will still be your charming self, just less miserable.

Your talking about the narcotics not the antidepressants,right?So its not a crazy idea?

[Hippie3]

who ever heard of a happy junkie ?

[kaysuds]

I misquoted you.

I am talking about the anitdepressants. Your idea is indeed crazy.

[sgt. rock]

Originally Posted by Hippie3

lol
hm just wants the fuckin' dope,
all the rest is
just BS
i bet any decent doctor
spots his ruse at the door.
euphoria indeed

Its no BS,a legitimate need for real pain but having said that how can any real doper with legitimate pain when imagining possible future percocet,dilaudid or oxy prescriptions not imediatly daydream about other possible uses/scenarios than strictly pain relief?
Its like a relex,i cant help it.

[Hippie3]

the fact that already
you can't control yourself
tells me that
you are a terrible candidate for pain meds,
you would addict yourself
and eventually kill yourself.
might as well speed up that process
and start guzzling whiskey too.
it's an excellent legal cheap painkiller
no prescription needed.
then order your pods
and get the job done.

[kaysuds]

game, set, match.

[sgt. rock]

Originally Posted by Hippie3

the fact that already
you can't control yourself
tells me that
you are a terrible candidate for pain meds,
you would addict yourself
and eventually kill yourself.
might as well speed up that process
and start guzzling whiskey too.
it's an excellent legal cheap painkiller
no prescription needed.
then order your pods
and get the job done.

Your right.Ill' stop this line of persuit and end the cherade (in my mind).Sorry again.
P.S. Your giving honest advice not talking down to me right? im getting paranoid.
peace ...

[sgt. rock]

Originally Posted by kaysuds

I misquoted you.

I am talking about the anitdepressants. Your idea is indeed crazy.

I thouhjt thats what you meant.I tried taking one of a friends prozac once and a paxil once both made me feel a little better i guess (i wasnt depressed) but also made me feel slightly not quite right or just uneasy in a almost intangible but definatly not normal way which i realy disliked.other than these type antidepressants what are the mood elevators or antidepressants you were refering to that make you feel normal just happier? When im realy sad it doesnt feel like a chemical/seratonin imbalance but the feelings feel like theyre my own,like i REALY am sad but is this how people with a chemical imbalance feel?could it just be a chemical thing?

[kaysuds]

If you are chronicly sad it *can* throw off your system enough where it becomes hard to be happy. The real cure is to find what is making you unhappy and fix it. Unfotunatly, this can be insurmountable to some peoples situations. That is when happy drugs *can* give you a better life.

[Banjojojojo]

Do you mind telling me how you broke your neck?

[sgt. rock]

Originally Posted by Banjojojojo

Do you mind telling me how you broke your neck?

I got high on PCP (sherm) and dove headfirst into 3 ft of water. Not off of a pier or anything I was standing in 3 ft of water at a local lake (muddy clay bottom) and for some reason thought i was gonna' dive straight down,took a full leap and jammed my head into the mud breaking my neck.
I floated there face down holding my breath listening to the sound of my heartbeat knowing that i was about to die and that the rest of my life was going to be exactly as long as i could hold this last breath...after a couple minutes someone saw me and pulled me out.

[Hippie3]

lol
i predict that one day
you will win a darwin award
or at least
honorable mention

Darwin Awards

[Hippie3]

Living on Zionist Time
1999 Darwin Awards Winner
Confirmed True by Darwin

5 September 1999, Jerusalem
In most parts of the world, the switch away from Daylight Saving Time proceeds smoothly.
But the time change raised havoc with Palestinian terrorists this year.

Israel insisted on a premature switch from Daylight Savings Time to Standard Time to accommodate a week of pre-sunrise prayers.
Palestinians refused to live on "Zionist Time."
Two weeks of scheduling havoc ensued.
Nobody knew the "correct" time.

At precisely 5:30pm on Sunday,
two coordinated car bombs exploded in different cities,
killing three terrorists who were transporting the bombs.
It was initially believed that the devices had been detonated prematurely
by klutzy amateurs.
A closer look revealed the truth behind the explosions.

The bombs had been prepared in a Palestine-controlled area,
and set to detonate on Daylight Saving Time.
But the confused drivers had already switched to Standard Time.
When they picked up the bombs,
they neglected to ask whose watch was used to set the timing mechanism. As a result, the cars were still en-route when the explosives detonated,
delivering the terrorists to their untimely demises.

[sgt. rock]

Originally Posted by Hippie3

lol
i predict that one day
you will win a darwin award
or at least
honorable mention

Darwin Awards

I remember back in the day I had been up for several days slaming meth,I had a dummy hand grenade that i had refilled w/ gunpowder,filled the hollow tube that held the 3 second fuse w/ gunpowder (so that rather than 3 sec it would detonate instantly) replaced the primer w/ a primer from a shotgun shell,pulled back the hammer/firing pin,replaced the metal handle (that holds the hammer/firing pin back) and replced the pin. I taped or lashed the grenade to the leg of a chair,tied a string to the ring in the pin of the grenade then strung the wire 1 foot high across my bedroom...5 minutes later I had foorgotten all about it and had taken 2 or 3 steps before i noticed the string,froze and almost shit my pants.
Yep,Im' a prime candidate.

[steam]

maybe you should get into some therapy. try to take a few hacks at the deep rooted problems that make you depressed and unhappy and want drugs.
and drive a few therapists into therapy themselves in the process.
drugs are a crutch you need to find and fix the actual problem.

[Banjojojojo]

could you not reason you were high on PCP?
I mean, didn't part of you know that the ground
was solid, no matter how fucked up you are?
Pardon if these questions seem stupid to you.
It just sounds like you broke your neck on purpose.

[sgt. rock]

[QUOTE
It just sounds like you broke your neck on
purpose.[/QUOTE]

??????!!!!!!?

[Lefty]

Hip, you are one cold individual.

[Hippie3]

only when i need to be.

[*Quagmire*]

percocet is 5 mg of oxcodone, theres gotta be somthing with like 10 mg of oxycodone other than time released oxycontin, maybe morphine pills are what you need

[kenniey2005]

About a year ago when I was heavy into xanax and valuim .. I would go to doctors and tell them I wanted xanax ... To my suprize it worked on about half the doctors I seen .. I would just tell them My last doctor gave me xanax 1 mg and they worked really well ... and yeah they give me it ..
This one doctor started me out at 1/4 mg 30 a month ... then after a few visits I was up to 90 a month of the 1 mg ..I had like 3 or 4 doctors I would see ,,while also forging scripts .. The sad thing is I could eat all 90 in about 2 days . I ate 20 of the 2 mg xanax I been off them for over a year now .. After a bunch of arrest and loads of stupid shit I did while on them ! The last time I got locked up .. I was facing 99 years of jail time .. just for that one arrest ,,, So i guess you could do the same with pain meds ,, I dont think doctors really give a shit .. Its all a money thing .

[sgt. rock]

Originally Posted by *Quagmire*

percocet is 5 mg of oxcodone, theres gotta be somthing with like 10 mg of oxycodone other than time released oxycontin, maybe morphine pills are what you need

Yea but even w/ a f-kin' broken neck try walking (or rolling) into a doctors office and asking for morphine pills...not if you only have medicare/medical...now if your Rush Limbaugh...

[Hippie3]

morphine generally is reserved for terminal [dying] patients
with less than 6 months' expected to live left.

[bipolar]

Yea Hip you're right. They started my dad on loracet 10. In 2 weeks time he was evaluated and gave him the morphine sulfate tabs. They seem to be working ok. 10 - 15 min. after taking 2 - 10mg tablets, he'll nod off and after awhile he'll be up doing stuff around the house or in the garage. With out that relief he gets to laying around not wanting to do anything.

[Hippie3]

glad to hear that your dad is getting some relief.
it's a genuine crime the way the medical-legal apparatus
restricts pain meds like they do,
far too many out here suffering needlessly.

[bipolar]

Again you hit it on the nose. When he was taking lorcet 5, for his knees and back, my dad had to fight the asshole doc to try and get this relief. After awhile the regular doc was short a patient as my dad started going to the VA hospital. When they found the cancer the meds were up'ed big time and then came the morph.