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Q: Getting meds from new doctor
asked by: kryptick on February 28th, 2009
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Brief History:I have had an on the job injury in 06'--I fell off of a 4 foot high crate slipped on a piece of cardboard landed on back. Did rehab and released-prednisone, vicodin, soma for pain. In the year after I went to work as an apprentice electrician but working on ladder all day, climbing and twisting brought back the low back pain/sciatic pain every couple weeks intense during flare ups. Went to multiple ER visits and dx chronic pain/sciatica told to find doc to prescribe meds. Found a doc, signed contract and started off with vicuprofen then norco and stretching, pilates suggested.I have had to discontinue electrical work and have moved from austin, tx to a small town in east texas. I haven't been seen by a doc in 20 months and can now afford to see an osteopath who I'm seeing next Tues. I have tried managing back pain with ultram, ibuprofen, tylenol-3, obviously the norco worked best with the vicuprofen a close second. Never had abuse issues. How do I approach doctor about prescribing what has worked. I have no medical history for the past 20 months and as of yet been able to afford an MRI although am shopping rround. this is a small town...Any suggestions on how to talk to doc without seeming desperate? I called another doc in town who said "we do surgery but don't prescribe narcotics around here", so that makes me feel even more anxious asking.
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Dr. Bruce Harrow , MD
replied on June 1st, 2009
This is a national problem. People with chronic pain don't look as tormented as those with acute pain and are judged on that basis. Abuse exists. Docs are trained to heal and you don't heal chronic pain, you manage it, keep it under control.
A couple of suggestions. One, just ask if the doc does any chronic pain management. If s/he doesn't, you'll probably get a blank look which will be your answer. Two, call your local Hospice and ask which of the docs works with them, not as Hospice docs per se, but as primary care people who follow their own Hospice patients. Those that do are likely to be comfortable with the medications and have the skill sets to do chronic pain management in non-Hospice patients.




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