Chronic pain

The pain an addict (whether it's emotional/physical) isn't just felt by them, but everyone else around them.

Not to change the subject….. but some POS doctors wrote prescriptions for Pain meds very recklessly without care.

One BITOG membered said their sibling‘s life was destroyed by careless doctor.
 
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The ones that over-prescribed opiates in the past are scared to prescribe them now. Find yourself an older neurologist that isn't on the DEA watchlist. If you don't have nerve pain just muscle than your probably out of luck
It not the doctor....I have no problem its the **** pharmacy wont fill them...... CVS and walgreens wont touch them.....all thay do is start saying how many die a day from ODing....
unless you are term ill and have less than one year to live etc....i do have copd....do i have a year? ....nobody knows....i could die today or next week or in 6 months.....I have port oxy ....so i guess i would be term ill. Last year Pneumonia almost killed me back in Oct....spent 4 days in ICU then 3 in a reg room. Then i got the bills and really almost died...my share was almost 6k with ins.
 
Just in case anyone hasn't heard, benzodiazepines and xylazine is being mixed into street fentanyl and spreading across the country.
benzodiazepines mixed fentanyl is called "benzo dope". "Tranq dope" has xylazine in it.
Actual heroin is very difficult to find in 2022 as fentanyl pretty much replaced it.
 
I feel for the OP and people in that situation. My 90 + yr. old FIL has chronic severe back pain and been through all sorts of back and other surgeries. About 3 or 4 years ago they forced him off of Morphine. I believe he was using it responsibly and it gave him some partial relief. Since then, he's been to every pain specialist in 30 miles including acupuncture, without any results. They now only allow him some Tylenol with codeine. I can think of no reason for his docs to do that. A friend's wife is in much the same situation with severe neck and back pain. I think she had once been on some sort of time release Morphine and was forced off.

Since most medical Doctors work for some sort of profit or non-profit corporation someone else is paying their malpractice premium. That may be part of the reason that opiate and opioid prescribing has been squashed. There have been countless prescribing abuses by medical practices, especially in the last 10 years. I recall one Urgent care center where everyone in the place was arrested but the receptionist. The whole fake heroin rehab clinic boom of a few years back was insane. Without going into all the financial gaming of parents that they did, several of them were cracked because the counselors were selling doses. So, the people who really need opiates get punished.
I had a Doctor tell me back in January this year about a strange (well maybe not soo strange these days) incident. He said all of a sudden most of his patients could not fill their medications at local pharmacys. They were all having delivery issues. Then come to fine out they were all medicines from a major , long time , well known American drug manufacturer in a south western state. He said the more they looked into this it turned out the company had changed hands in some massively expensive almost unheard of purchase. About a year or so after the company changed hands the FBI & DEA got a tip of some wrong doing. The entire company was shut down when the whole front office / headquarters and owner were all busted for selling almost half of the products to the black market. The company was so big and such a large provider of a certain pain medication the Doctors in the southern part of the US had to start putting their patients on all sorts of other medicines until some companies could make up the slack for the sudden drop of that medicine from the legal market. Just crazy the money involved in illegal and sometimes even legal drugs.
 
What do you take issue with, exactly?
CDC is run by idiots anything gov run i would not trust it.....my doctor said because some idiot kid dies from trying to get high now people like me who really need cant get it.....the gov and ins companys should have nothing do with what a medical doctor and patient does ...now we have pharmacist telling doctors what they can and cant write a script for ....in one article they made the statement well 100+ years ago there was no oxycodone....yes they had luadanum for pain and morphine.....people live much longer than 100 years ago so yeah more chronic pain and as my doc said until they come up with something better than morphine for pain?.....I cant use ibuprofin type drugs because of CKD neither can Barb my GF or Asprin.
Doctors are some pretty dang smart people ....my doc is one of them She was a dentist went back to medical school for internal med at Mayo clinic and general surgery ....was in the army as a doctor in Iraq...now pain and eol care is her main speciality....I would trust her judgement in knowing what drug to use over a cvs pharmacy major.
 
The reason why the pendulum is swinging back is because opiates were being given out like candy by doctors. The medical community created a class of legal drug addicts and thousands died every month from these prescribed meds.

Federal law enforcement is targeting the doctors for being pill mills and legit doctors are afraid of being targeted. The doctors are being overly conscious - something they should have been all along and as a result, they've made legitimate patients suffer.

None of that matters to you.

Doctors, carriers and pharmacies are hyper vigilant for drug seeking behavior. That's what's going on. To overcome this your doctor needs to show that both your subjective complaints and objective findings are in harmony with each other and if so, they should write the script.

Also consider that perhaps the amount of meds your are on is causing other internal complaints that can only be addressed by switching out your meds or rotating them. You might be showing drug tolerance and that's why, say, Norco isn't approved but they will approve something else.

If you don't have one already, ask for a referral to pain management. They are the pros at treating chronic pain. Given what you've shared, a general practitioner or even an orthopedic doctor isn't going to provide pain management level of care.

It's very possible that you have been slowly turned into being drug dependant when your physical condition isn't as bad as your subjective complaints.

Best of luck to you but do explore your options and don't think your days are numbered. Seems like your needs for care require a different area of expertise.
 
The reason why the pendulum is swinging back is because opiates were being given out like candy by doctors. The medical community created a class of legal drug addicts and thousands died every month from these prescribed meds.

Federal law enforcement is targeting the doctors for being pill mills and legit doctors are afraid of being targeted. The doctors are being overly conscious - something they should have been all along and as a result, they've made legitimate patients suffer.

None of that matters to you.

Doctors, carriers and pharmacies are hyper vigilant for drug seeking behavior. That's what's going on. To overcome this your doctor needs to show that both your subjective complaints and objective findings are in harmony with each other and if so, they should write the script.

Also consider that perhaps the amount of meds your are on is causing other internal complaints that can only be addressed by switching out your meds or rotating them. You might be showing drug tolerance and that's why, say, Norco isn't approved but they will approve something else.

If you don't have one already, ask for a referral to pain management. They are the pros at treating chronic pain. Given what you've shared, a general practitioner or even an orthopedic doctor isn't going to provide pain management level of care.

It's very possible that you have been slowly turned into being drug dependant when your physical condition isn't as bad as your subjective complaints.

Best of luck to you but do explore your options and don't think your days are numbered. Seems like your needs for care require a different area of expertise.
 
Well ive been to them all....the first thing is they want is start testing, then injections, then xyz ....all this takes time and 20 percent money......Ive had them all....surgery ....thats a no go now....spinal injections (3) did nothing except give me a bad headache and one wanted to implant some morphine pump....ive been warned of the dangers of them and people died from it....The one thing that might work is not covered by medicare ....thats laser surgery. I would have to pay out of pocket....30-35k is what i was told 5 years ago.....lets say 50k+ now. I dont have that to risk anymore.....laser leaves no scar tissue or very little and thats one of my biggest problems now.
One bone doc told me joking i need a back transplant.....Mine is one of the worse he has seen and was shocked i could walk at all.
I have 4 "slipped disk" two were "fused" in 2007....it helped for three months then the real pain started....plus DDD, spinal stenosis, pinched nerves and one i think L3 has a fracture.
As I age it gets worse....Im sure the day will come soon I cant walk anymore....Im already L shaped....if i try to stand straight causes a scream you could hear for a mile.....one "pain doc" tried to force my back to upright once.....I almost hit him and told him never do that again.
 
The general rule of thumb with any proposed surgery is that unless the proposed treament will help you feel better or cure or relieve your symptoms dont do it. It you will be the same dont do it.

That said, a spinal cord stimulator may be helpful and the the track record of morphine punps makes them attractive too v. ongoing suffering.

It certainly sounds like you have alot going on. Do they want to fuse additional levels? It seems very clear that if your subjective problems were completely controlled you still have structural issues aka severely degenerative spine with other problems.
 
The general rule of thumb with any proposed surgery is that unless the proposed treament will help you feel better or cure or relieve your symptoms dont do it. It you will be the same dont do it.

That said, a spinal cord stimulator may be helpful and the the track record of morphine punps makes them attractive too v. ongoing suffering.

It certainly sounds like you have alot going on. Do they want to fuse additional levels? It seems very clear that if your subjective problems were completely controlled you still have structural issues aka severely degenerative spine with other problems.
The last doc i talked to on it wanted to insert rods through the last 4 vertebra ....risky at my age plus i would be flat on my back for 8 weeks ...no fun.....plus i would have to loose about 30 pounds now before he would even talk about .....and not sure it would help that much....its a dammed if you do or dont.
Plus now with ckd stage 3 i dont think they would even try now and copd....that was back in 2010.
 
....in one article they made the statement well 100+ years ago there was no oxycodone....
The life expectancy of a white male in the US in 1900 was 46. Also, just because prior to the last 100 years many people lived lives filled with horrific pain and agony without a way of controlling that pain doesn't mean it was the right way to live one's life.
 
Why? If I was 76 and had significant chronic pain I'd probably be a drug addict too right up to my last day. I think the opposition to drug addiction should revolve around its negative impact on the life of the addicted and the limitations these negative impacts impart on the potential for a long and productive life. But now we are talking about someone who is near the end of their life and whose life is more severely impacted by their chronic pain when compared to the impact of drug addiction.

No one gets out of this life alive and there is something to be said about living out your final days and dying with dignity or at least humanely.
Amen to that . With an effective pain killer, I can accomplish what needs to be done for the day, but without that help, I am worried that the next time I get up from my chair I might set PHN off again and have to spend three or four hours in bed, or maybe even call 911. Neuropathy is so unpredictable even breathing can set it off. I have my annual wellness check next month, and again I will ask her to prescribe one or two fentanyl tablets to avoid excruciating nerve pain, and again she will suggest this or that that never work. Bah Humbug.
 
@gmh101358 , Have you been presented with the option of a implanted pain pump? In particular they have pumps that deliver pain medicine direct to the spinal column. These are called Intrathecal Pain Pumps. When I worked in hospital pharmacy we dealt with these quite a bit for patients with intractable pain and it sounds like you fit that description.

If you haven’t been given this option I would ask your doctor about it.
 
@gmh101358 , Have you been presented with the option of a implanted pain pump? In particular they have pumps that deliver pain medicine direct to the spinal column. These are called Intrathecal Pain Pumps. When I worked in hospital pharmacy we dealt with these quite a bit for patients with intractable pain and it sounds like you fit that description.

If you haven’t been given this option I wouldI had ask your doctor about it.
 
I had one .....It "malfuctioned" and I came close to dying .....I was at work woke up in hospital er is all I remember....I released it all at one time.
 
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