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I have my first appointment with a pain management doctor next month. I've read the posts on this board regarding PMs and I do agree that honesty is the best route to take and I also agree that one should never tell a doctor that you order meds over the Internet.
How, then, should I explain my tolerance to hydrocodone and the amount I must take to control my pain? It's not that much, but the doctor WILL ask where I obtain the tablets that I take.
Any help here is appreciated.
Just try to tell the PM Dr that over the yrs when you've been prescibed hydro after dental visits and visits to your primary care Dr that it seemed that the hydro just didn't have the effect you thought it would.The Pm Dr is there to treat your pain and if he/she doesn't know the info needed they will not be able to do their job.I hope this makes sense and answers your question.If not pm me and I'll try to explain it.My PM Dr is Great! Paidfo
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"The difference between Ordinary and Extraordinary is the Little Extra"
Yeah, the easiest way is probably going to be a patchwork of scripts from here 'n' there. I told my first pain doc the entire truth and it did NOT help my situation... this actually prompted him to retract everything we had been talking about pertaining to sustained-release maintenance of my incurable condition. As soon as he became aware of my prior (and still current, thanks to my honesty) treatments, he sent me home with neurontin and a TENS unit. All follow-ups were fruitless (though I do get a bit of relief with the TENS). Honesty is not always the best policy with these guys and gals, unfortunately. In paradise we could tell the entire truth and still be treated like patients. I almost wonder if intractable pain shouldn't be a prerequisite to specialize in pain mgmt. (kidding, sorta).
Just do your best, and realize beforehand that they will nitpick every little discrepancy in your statements... and also ESPECIALLY note that they will write down almost everything you say and place it in your records.... so be aware of that if you don't want it in your records. I've been to 3 pain docs... the first one I just mentioned, the second required MULTIPLE dangerous nerve blocks and epidurals prior to any opioid therapy, WITHOUT fleuroscopic guidance ("I know what I'm doing")not gonna happen.. and the third wants to use methadone and only methadone. No way in hell I'm going on methadone before oxycontin or MSContin... once you go methadone, you may very well never get relief from another opioid again. So, here I am! Just be as honest as you can and see what happens, pain docs come in all configurations of competency and compassion. Good luck!
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Paidfo