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PostPosted: Sat Jun 08, 2013 2:01 am 
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Hey all! I currently have a doctor that I do not get along with and he has crossed some major boundaries with me. Let's just say it's not a good match. I have an appointment soon with another doctor in 3 days, I really hope we are a good match and that he has good bedside manner, genuinely cares about his patients, friendly, and has experience in pain medicine and suboxone/methadone maintenance knows ways or resources to obtain methadone maintenance. I have degenerative Disc disease, Facet syndrome, fibromyalgia among other serious chronic pain conditions. However, I have chemical dependency issues.

I am 24 and at age 20 and 21 I had 2 microdiscectomy surguries on my back for herniated dics that were bulging out of my vertebrata and hitting the nerve in my spine causing chronic siatica lower up back back muscle spasms, etc.. One of the surguries in the spring of 2009 and the next Spring of 2010. Before hand I went through physical therapy, HAD 6 CORTISONE/ RADIO-FREQUENCY INJECTIONS within the span of one year (you are not supposed to get more than three in one year), traction, various narcotic pain and muscle relaxant medications, acupuncture and massage. I Have come to found out that the injections made things worse and decomposed/deteriorated my discs. My surgeon told me that I will most likely need a fushion in my life whether that is in 5 years or 20 years later, etc. Docs who give cortisone injections get paid for each injection they give
(to my knowledge), kind of like a tip for a bellman carting luggage around for a hotel guest in a luxury hotel. Obviously the doc gets paid a significant amount for each injection, so that example wasn't comparable. I believe that my suboxone has made my back pain worse and my ADHD worse as well, among other things. Does anyone have experience with doctors who take on clients who are addicts and manage their pain through narcotic medication? Do they take the time with you that you need does he seem interested it what you have to say and let you take part in your suggestions/goal planning of what you are willing and not willing to do for pain management, if you know any of these things? At this point, considering I am i have had chemical dependency issues but have serious psychical chronic pain conditions that will probably never go away, I want to be on methadone for pain...or maybe just opiate maintenance. I don't think it's legal for a doc to agree to both due to ethical responsibilities and law, but I am struggling so much and don't know if it may be legal to do this! please respond when you get the chance, hope all is well with you! All the best!

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Shorty123


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PostPosted: Sat Jun 08, 2013 11:30 am 
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hello....

I'm a pain patient, too, I guess "technically" but I don't have anywhere near the issues, as you my friend... I just have early onset of LOTS of things,,,, arthritis in my back/knees, for four years already, and not much cartilidge,, had carpal tunnel surgery at 22,,, this is all due to working commercial construction, from 18 to 25, and then residential roofing/siding/etc....

Anyway,
my dr. is pretty good about making sure my pain is managed, but I had already gone down the "methadone route" before going on suboxone... and well could NOT TAKE IT HOW YOUR SUPPOSED TO... I actualy LOVED it.... to take too much, of course...

anyways,, here's a story you should read when you get some time,,,
"my switch" and it's a really enlightening story
http://suboxforum.com/viewtopic.php?t=4257&start=0

and maybe methadone WOULD be a better choice for YOU, since your "chemical issues" are more in the background,,, and your pain issues more in the "forefront"
I'm kind of the opposite,,, of that...

here's a paragraph I found when I searched google for "methadone doctor search tool"

Methadone-Clinic.com and MethadoneTreatment.net both offer toll-free numbers which you can call. The operators working at these hotlines will probably ask you for some simple information about your location and possible preferences in the location of your MMT clinic. After receiving this information, they will likely guide you to the clinic best-suited to help you. These hotlines are extremely discreet and may not even require you to give them your name.

Read more: http://www.livestrong.com/article/21947 ... z2Vdg2rRhR


HERE is a list of methadone clinics, by state
http://www.methadone.us/methadone-clinics/


HOPE THAT HELPS!!!! and good luck to you :wink:

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PostPosted: Sat Aug 24, 2013 12:31 am 
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The times they are a-changing...

Ten years ago, physicians were told that they were not treating pain aggressively enough. Now, we have groups like PROP that insist that opioids are NEVER indicated for chronic pain, addiction or no addiction.

Your question about a doctor having a rational discussion about pain, opioids, and addiction..... that type of discussion is getting more and more difficult, as medicine becomes more and more regulated by distant lawmakers, rather than groups of professionals in a local treatment area. For example, in Wisconsin people requesting coverage for buprenorphine who are on Medicaid face a prior authorization process that has very little wiggle-room. One of the questions, to be completed on the PA form, is 'has the patient taken opioid agonists?' If the answer is 'yes'-- say because the patient had a flare-up of sciatica and needed a short course of opioids--- the form is automatically denied, and there is no human being to discuss the issue and override the denial.

Similarly, requests for opioids for pain treatment sometimes require a PA that asks 'does the patient have problems with addiction?' If the answer is 'yes', the form is automatically denied.

My point is that the era of 'thinking' and 'individual consideration' is largely behind us. The President talked a few years ago about how the government, with the new law, would be able to simply tell doctors to use the red pill that works, instead of the blue pill that doesn't work. When people with that type of thinking are in a position to regulate health care, the people who need a thinking physician are going to suffer.


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PostPosted: Thu Sep 26, 2013 11:38 pm 
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Hi all,
I was on methodone for bout 15 yrs for cronic pain, i felt the meth wasnt helping with my pain issues and also just got tired of being addicted to methodone.. I was on 120 milgs a day. I left the drs who were "treating" me then found who I think is a caring PM Dr. We made a plan for me to come off methodone. I was down to 60 milgs and stayed for few months. During that time I was to be seen by few specialist , a neurologist , rheumatologist , and cardio ! I was Dx with aortic stennosis needing valves replaced. The detox began and I felt it was just lil to fast as though I was jumping off a cliff. My dr sent me to a suboxon Dr.. I'd heard of it that's all . Well all the WDs left, the cravings. And surprisingly not much cronic pain ? That was only my first few weeks. I couldn't take it anymore, I had aweful side effects from suboxone. Running to the ERs.. One Dr said to me all I was doing was exchanging one addicted drug for another .. Started me thinking :(. Why did I get off the meth ? Least it was helping with some of my pain of RA, lupus, lower back, and aweful neuropathy ! ! So now still off meth. My primary had perscribed some oxies bt because of high tolerance from the methodone the oxis gave No pain relief & felt my addiction so T/ God I still kept few subs .. Saved my life..my PM dr told me methodone is not even an option for me & have me 15 / 50milgs Patches of fentenyal , I asked him wt about my addiction ? He claims my heart condition was prob due to the many yrs of meth.. So now I don't know what will happen. I did a search on methodone & heart probs, yes there was a write up on it .. Now I'm between a rock & a hard place!
Any suggestions...
Thankxxxx :(


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