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Medication problems at a general practice
2004-05-14 22:58:26
My primary doctor has diagnosed FMS, along with some related
illnesses. I currently take a drug cocktail including trycyclic anti-depressents, flexeral, xanax, and lorcet. The problem lies with narcotics and my doctor, who is young and scared of the state boards. I can't really blame them, as another Dr. at the same clinic almost lost his career for treating pain humanely. My Dr. agrees that a longer lasting, stronger narcotic would help, as I have a naturally large tolerance to all drugs.(including alcohol, when I could drink) However, they will not prescribe anything schedule II, such as oxycontin, MS-contin, or my choice of methadone.(It seems the safest, cheapest, and has the least hype) If another Dr. initiates treatment with a more powerful opiod, my current doctor will continue the treatment. I have no insurance, am in pain, and don't have the money nor capacity to develop a long relationship with a doctor to change my treatment. As many of you know, many doctors in the field flat out deny the existence of FMS, adding further to my problem. Have any of you had a similar problem? What options could I take? I looked into going to a pain specialist, but it will cost several hundred dollars, only to find out that they won't help. I've considered going to the emergency room when I can't take it anymore, but I doubt that would help my cause. This is a valid disease, and I'm not a drug seeker. I jumped from doctor to doctor to find one who would test and believe me. For the most part it has worked out, and the other drugs and treatments have helped. Even my current dr. talked to a rhummy, who told her that narcotics don't help FMS patients. Thanks for any responses or ideas in advance. I'm at my rope's end, and have exhausted blood tests and the local MD pool, whom I no longer think can help me. Thanks again...
2004-05-15 05:06:21
I think you're right to pursue Methadone as a safe, effective, and CHEAP
pain medication which has the additional benefit of not being held so taboo as other opioids because it is also used to wean addicts off of harder narcotics. But you might also try Ultram, a non-opioid Rx pain med which your doctor should be more comfortable prescribing. But it's more expensive and can bother the stomach like NSAIDS... You can take smaller doses (half) if you take them with 325mg Acetaminophen, the pre-mixed, synergistic combo of which is sold as Ultracet (but without the cost savings). Just be sure to discuss how you'll manage the constipation that comes with taking opioids with your doctor. The fact you have problems once on them is one way your doc and pharmacist can tell you're taking them properly... ;~) The required change in your daily diet will probably increase your overall general health and longevity... "Absolut_B" news:b148c06f.0405142158.3cfa9356@posting.google.com... > My primary doctor has diagnosed FMS, along with some related > illnesses. I currently take a drug cocktail including trycyclic > anti-depressents, flexeral, xanax, and lorcet. The problem lies with > narcotics and my doctor, who is young and scared of the state boards. > I can't really blame them, as another Dr. at the same clinic almost > lost his career for treating pain humanely. My Dr. agrees that a > longer lasting, stronger narcotic would help, as I have a naturally > large tolerance to all drugs.(including alcohol, when I could drink) > However, they will not prescribe anything schedule II, such as > oxycontin, MS-contin, or my choice of methadone.(It seems the safest, > cheapest, and has the least hype) If another Dr. initiates treatment > with a more powerful opiod, my current doctor will continue the > treatment. > > I have no insurance, am in pain, and don't have the money nor capacity > to develop a long relationship with a doctor to change my treatment. > As many of you know, many doctors in the field flat out deny the > existence of FMS, adding further to my problem. Have any of you had a > similar problem? What options could I take? I looked into going to a > pain specialist, but it will cost several hundred dollars, only to > find out that they won't help. I've considered going to the emergency > room when I can't take it anymore, but I doubt that would help my > cause. > > This is a valid disease, and I'm not a drug seeker. I jumped from > doctor to doctor to find one who would test and believe me. For the > most part it has worked out, and the other drugs and treatments have > helped. Even my current dr. talked to a rhummy, who told her that > narcotics don't help FMS patients. Thanks for any responses or ideas > in advance. I'm at my rope's end, and have exhausted blood tests and > the local MD pool, whom I no longer think can help me. > > Thanks again...
2004-05-15 15:58:35
I don't know where you are located Absolut_B, but what about going to see
maybe Mark Pellegrino? He is located in Canton, Ohio. I've heard that he is exceptional in the FMS field. I saw him myself. Since I live in Southern Ohio he said he could not treat me on a regular basis but could make reccomendations. He did in fact reccomend narcotic therapy as well as other things. My hope is to find a primary care doctor who will treat me then be able to use his reccomendations as back-up sorta like your primary care wants to do. Dr. Pellegrino is a nice doc. He apparently has FMS himself. He seems very understanding and gentle to say the least. His was the only office visit I'd ever went on and did not walk out hurting so badly that I wanted to scream. I was thinking you could save the money, go see him (if he isn't too far) and get a consult from him. He was accepting medicaid when I saw him. Then the consult may be enough back-up for your primary care to move on to a stronger narcotic for you? If you are interested and would like more information on him- please feel free to email me. Generally, I would not normally post a doctors name but he seems very active on the web already. Here are some links to more information about him. http://www.immunesupport.com/library/showarticle.cfm/ID/3308 http://www.amazon.com/exec/obidos/tg/detail/-/1890018368/ref%3Dpd%5Fsl%5Faw%5Falx-jeb-9-1%5Fbook%5F4947764%5F3/002-5465764-5509646 http://fmaware.org/bookreviews/bookreview_inside_fibromyalgia.htm http://ihconcepts.com/productDetail.cfm/id/107 http://www.anadem.com/fibro.html Tammy
2004-05-15 16:49:29
I have tried Ultram, at various doses. It helped slightly, but also
gave me a very "odd" feeling. I think it was the norephrine(sp?) action which caused the uncomfortable feeling, almost a stimulant feeling. Constipation is an issue, and since I also have celiac sprue I cannot eat gluten products such as wheat, oats, etc and things including them. Fruits and vegtables are important, but that's rather common knowledge for all diets. As far as NSAIDS go, I take 800-3200 mg of ifuprofin a day, which helps with soreness from activities, but not the general soreness of everyday. BTW, Ultram is related to other opioids and has a weak affinity for the receptors, but you're right that it is considered to be in a different class of drugs. Thanks for the input. The more people I speak to the better methadone looks as an option. It is too bad it has the negative stigma: it has many valid uses, and fewer problems than it's relatives. Thanks again. "Randy" > I think you're right to pursue Methadone as a safe, effective, and CHEAP > pain medication which has the additional benefit of not being held so taboo > as other opioids because it is also used to wean addicts off of harder > narcotics. But you might also try Ultram, a non-opioid Rx pain med which > your doctor should be more comfortable prescribing. But it's more expensive > and can bother the stomach like NSAIDS... You can take smaller doses (half) > if you take them with 325mg Acetaminophen, the pre-mixed, synergistic combo > of which is sold as Ultracet (but without the cost savings). > > Just be sure to discuss how you'll manage the constipation that comes with > taking opioids with your doctor. The fact you have problems once on them is > one way your doc and pharmacist can tell you're taking them properly... ;~) > The required change in your daily diet will probably increase your overall > general health and longevity...
2004-05-15 16:58:41
Cities I live somewhat close to would include Omaha, Kansas City, and
Denver. Things are a little behind the times here, from fashion to medicine. There is a certain reluctence to treat anything unusual, for fear of screwing up or just being uneducated. Many of the local doctors don't even think FMS is legit, much less have any experience treating it. Travelling further away is attractive, but there are many horror stories I've seen.(such as the Mayo clinic not believing in FMS) Thanks for the reply, and if my disability goes through I may be able to look at more options.
2004-05-15 22:32:47
Must be some other Mayo Clinic than the one I think about.
http://www.mayoclinic.com/invoke.cfm?id=DS00079 http://www.mayoclinic.org/patienteducation-rst/fibromyalgia.html http://www.sciencedaily.com/releases/2001/04/010410084758.htm Well, you get the idea. Absolut_B news:b148c06f.0405151558.74b59e01@posting.google.com... . Travelling further away is attractive, but there are > many horror stories I've seen.(such as the Mayo clinic not believing > in FMS)
2004-05-15 23:03:52
Select the first URL, and when you get to the site, go to the box where you
can do a search. Put in fibromyalgia. Plenty of interesting stuff. Michael Baugh news:qkApc.10377$yF6.4141@bignews5.bellsouth.net... > Must be some other Mayo Clinic than the one I think about. > http://www.mayoclinic.com/invoke.cfm?id=DS00079 > > http://www.mayoclinic.org/patienteducation-rst/fibromyalgia.html > > http://www.sciencedaily.com/releases/2001/04/010410084758.htm > > Well, you get the idea. > > Absolut_B > news:b148c06f.0405151558.74b59e01@posting.google.com... > . Travelling further away is attractive, but there are > > many horror stories I've seen.(such as the Mayo clinic not believing > > in FMS) > > > |
pozycjonowanie Myjki Bielizna złoto i diamenty wózki dziecięce |
