About 2 months ago I was rear ended and my SUV was totalled. I had really bad whiplash and I was diagnosed with severe a neck strain/sprain. I've been in terrible pain since this accident and my primary referred me to a pain management clinic for treatment. I've been twice now with my 3rd appointment at the end of this month. The first two appointments I received trigger point injections in my trap/shoulder neck area and scripts for pain meds and muscle relaxers.
When I went for my second appointment I asked them to prescribe me Physical Therapy and they agreed. Upon my first visit I described a few symptoms that I had begun to experience with my PT. She recommended that I see a Neurologist. I called my primary (HMO) and they referred me to a Neuro.
Besides the muscle/ligament pain in my neck and upper back I have been suffering severe headaches that lead to vertigo, vomiting, etc... I explained this to my Neurologist and he wrote me a script for Fioricet. He did not give me the version that includes Codeine since I was seeing a Pain management doctor and I was already on Hydrocodone. He did warn me about watching the amount of Tylenol between the two meds. He also put me on a Steroid as well. He even made the comment that he didnt want to step on anyones toes so I'm going back in 5 days to let him know if it helped or not. The plan was to tell my pain doctor at the next appointment that it worked and from there they would manage it.
Being the honest person I am I called my pain management doctor today (1 day after seeing the neurologist) to let them know that I went to see a Neuro and he gave me additional meds. When they asked me what they were they had no problem with the Steroids but they freaked out about the Fioicet.
I felt like I was being scolded and they went on to say that I signed an agreement not to get pain meds from any other doctor, and use only one pharmacy at the same location (I filled the fioricet at the same pharmacy as I was told, not trying to hide anything). They kept saying that the Fioricet was a narcotic and would cause issues with my Hydrocodone. I tried to explain that I didn't have the version with Codeine. They told me not to take it and then we would discuss having my pain management doc prescribe me the same meds at my next appointment.
I tried to explain that I didn't go to a neuro to seek meds. In fact that's why I was notifying them because I received meds and I knew they had a policy. I even explained that I listed them on my Hippa release forms so they could obtain the information from the Neuro incase it would help them with treating me.
Never the less I was asked to bring in all my prescriptions to my next appointment with the pills. I was even told to bring empty bottles from this months prescriptions.
All of this has left me feeling like I've done something wrong. I'm nervous about going to the pain doctor now. I'm afraid I'm going to be scolded about my meds but I've been taking them as prescribed (every 6 hours/120 pills per month, about 4 every day). Normally I wouldn't even think twice about this but the way they reacted to the Fioricet there's no telling how they are going to act when I show up with only 4 - 6 hydrocodone pills left from this month. Last month I was given a script for 84 for the month and I was taking them every 4 hours. I ran out before the month and told them that. At that time they just said I should make sure I don't do that and that they would increase the amount next time which they did.
Am I just freaking out over nothing here?
They have made me feel like I've done something wrong? I talked to my pharmacist and she told me I was taking everything correctly and not to worry about taking the fioricet with the Hydrocodone.
I'm in so much pain but I'm afraid that my honesty will leave me without a pain management doctor to help me through this painful time until I get better because they could decide to stop seeing me as a patient.
Anyone have any advice? The added stress isn't helping me any.
I went back to the Dr. today and I was told that I could take the Fioricet with my other medication without any issues as long as I watched the amount of acetaminophen. I explained to the Dr. what I was told when I called their office and she apologized. I got the Dr. to write me a new prescription for additional Physical Therapy since I only have 2 sessions left. I'm starting to feel a little better but my left side of my neck is still painful. The additional Physical Therapy should help me and I'm hoping that I can stop taking meds by the end of next month after I complete PT.