Unfortunately for you, this is a very common situation for many healthcare professionals. We see it all the time! Someone "stole" their medication, the specialist "rescheduled" their appointment. All excuses of "drug seekers"! Even if your story is true, most healthcare workers are programmed to not believe it. You can blame the bottom-feeders of society for that, not the medical staff. They CAN get into trouble for over-prescribing narcotic medications and the pharmacies often call them to check out the validity of the 'scripts! You are just going to have to be a persistent pain in the *** to get what you need.
Bottom feeders of society??
Hello Fellow Wisconsinite,
Welcome to the Pain Management Forum. I must say that I am completely confused by your post. In Wisconsin it is not the PMP that prescribe opiate medications on a continual basis as is the rule in many other states. In our state it is the PCP that follows and prescribes for the chronic pain patients.
Indeed major PM Clinics even have a statement attesting to that fact on their web-sites. Here's one from the largest PM Clinic that I know:
BEGIN: "Please also be aware that we cannot permanently prescribe pain medications. Once we find an effective regimen, we help you to transfer care back to your primary care physician or other referring provider." END
So I am totally baffled by your PCP referral to a PM Clinic. That's normally done when they dismiss your pain. When you are referred to a PM Clinic normally they will diagnosis and assess your level of pain after a comprehensive multi discipline evaluation. In my experience, then and only then do they percribe a trial of medications to evaluate effectiveness and transfer you back to your PCP to continue the regime. So the fact that you were prescribed narcotics on your first visit with no work up at all was close to miraculous.
I am sorry but I have absolutely no suggestions for you except to wait to see your PMP. I am not saying that I disbelieve your story by any means. It just seems to be the opposite of everything I know about pain management in our state. Possibly it is different in you your specific geographical location of WI, ie: Milwaukee.
I do know that all physicians are reluctant to prescribe narcotics. However with proper documentation and substantiating diagnostic testing a compassionate and well educated PCP does treat chronic pain. I think you may be running into the fact that your foot is not considered chronic pain. Indeed you don't even have a diagnosis.
Good luck to up. I will be interested to hear how this concludes.
My sister-in-law had a ganglion (cyst) in her foot. She had it drained a couple of times and it went away. No big deal. That's just not the kind of thing you keep taking pain meds for. Red flags go up when a patient asks for a specific medication. Pain meds don't stay effective over the long term. They are better left for short-term pain, such as after surgery. You are addicted, so your brain is telling you to get more, and nothing else makes sense to you. Have the surgery. Until then, tolerate the pain using ice and elevation or a lidocaine patch. Pain won't kill you. I've got nerve pain shooting down my leg, and refused narcotics for them because I know they are not a long-term solution. Instead I've found triggers for the pain and reduced it by manipulating the triggers.
Thank you for all responses! Any advice, opinions or criticism is welcome.
My podiatrist's office called me today and told me they just received approval from insurance for another MRI. They said they set an appointment already for me tomorrow, because they know I want to get this taken care of ASAP. So Thurs 2:30 MRI, and Fri 3:00pm Podiatrist! I am so excited to be getting close to some closure. That thought alone helped me through today and I'm sure will continue to. It also helps me when I think about everyone else out there who is in more pain and that I should be grateful it's just my foot. Just to be clear I have never once directly asked for medication from any of my providers. I just tell them the same thing every time. That I just want this to go away and get back to my regular life. I am always polite and professional. I've never argued with a doctor. I have always respected their decisions (maybe not their attitude at times). I even told my PCP that I respect his decision to not give me more medication after it was stolen, but simply asked what else can I do. When I get upset I always make sure they understand that I'm just frustrated at the situation and not them. The ER I "stormed" out of after I gave my speech and paperwork back, I told the nurse directly I'm not mad at you, it's just been frustrating. He understood.
I have given up and accepted my circumstances, much easier after that. They have informed me that they can get in trouble for over prescribing. I always tell them that I've never received multiple narcotics at similar times "doctor shopping" or have I ever had anything refilled early. They confirmed this with a call to my pharmacy. They always question the amount of doctors who have prescribed me narcotics and then I have to explain the situation which takes forever. It's funny then they always ask a bunch of questions about everything I just explained. I'm would to, I find my situation unbelievable. I am so sick of explaining my story. :-)
Did you go to state fair this year? Krispy Kreme burger? I skipped it this year, I didn't want to do all that walking. I'm sure all those calories would have been bad anyways. :-) Your post made my head spin. I was not aware of this fact. Everything makes more sense now, thanks. Now I know why my PMP looked confused when I explained the situation. Now I believe my PCP wanted to just confirm my pain. My referral slip from my PCP to PM said Chronic Pain right foot, foot abnormality. How can it be chronic if
nobody knows what it is?
They've ruled out a cyst. That was my original diagnosis, but since the MRI and x-ray it is now a ????????. I am aware of the increase in tolerance with opiates. That's why I am upset this is taking so long. If I have to ask for a higher dose, just take me off. That road is a dead end. The only change I have asked for is for it to be changed from IR to ER. They had me take one every 12 hours, so it made no sense to take something that will only last 4 hours when I can have something that lasts twice that. Addicted, no, physically dependent yes. I have been on this since March so of course withdrawal symptoms would happen, but they don't last that long. I am already in a little better spirits today, well I had a little help from my friend loperamide. I don't crave the drug, I crave relief and closure.
It literally disgusted me to hear you refer to a drug addict as bottom-feeders of society. That is very rude and disheartening to say the least. I wouldn't consider ever "wanting" drug addiction upon anyone, but just ONE day of it might teach you a valuable lesson, that you seem to be needing. Don't consider yourself "above" becoming an addict, because you just might regret it one day.....
Personally I blame, Purdue Pharma, and media. Purdue made it OK to take a strong narcotic with out worrying about addiction. Then when it did get out of control the media spread it like wild fire. You say "oxycontin" to people, they know exactly what you are talking about, but hydrocodone, hydromorphone, and codiene they more then likely have no idea what you are talking about. Even if it's oxycodone not the brand name "oxycontin" they still call it oxycontin. You have all these kids in school who now know hey my parents/grandparents/whoevers medicine can get me high. I think that is why we have had such a surge of opiate addiction in the last decade. I believe that's why we have more addicts. Just my opinion.
I am so very sorry for how you were treated hon, and you're right! You have a valid reason for taking pain meds until you get the dx via MRI and get it taken care of. It's a shame that your GP didn't keep refilling for you until that could get accomplished. I missed it- Is the cyst on the top of foot or bottom and is it near your toes? Thanks
In Wisconsin it's almost a crap shoot. If you have an PCP that is educated on chronic pain and you have "reason" for pain you will be treated. PMP do not function as they do in other states. Granted they perform procedures and may do some trial pain medications but most of them are not narcotic. Basically it's up to your PCP.
I am assuming that your PCP did not feel justified in prescribing opiates for a cyst or cyst like condition. You and I know they can be very painful and interfere with our ability to function...however most physicians do not view it is the same light.
I have confirmed and multiple reasons for CP, yet it took me over ten years to find a compassionate and educated PCP that recognized my level of pain and prescribed opiates.
There is a difference between addition, recreational drug use and opiate dependence. Yet they are all lumped together due to the ignorance of the general public. Until the difference is repeatedly publicized and the public is educated this ignorance will continue.
No Stare Fair for me. I can barely make it through the grocery store. :o)
Best of luck to you.
So Friday last week I saw my podiatrist. The MRI results showed that everything was normal. So he recommended physical therapy for treatment. He then also prescribed me more medication for 10 days.
Today I had my PT appointment. The PT was more informative and helpful then all the doctors put together. I wish I could have seen this guy first. He said he thinks it is tendinitis with fluid build up. He said he can a see ridge on the "bump" and he explained that is the tendon with fluid pushing up around it. So we are doing steroid treatment twice a week. He said if this doesn't work he doesn't know what else it could be, but said he was pretty confident that's what it was. Especially since I had a car accident in October, 09 it could have come from that. I could have hyper extended the tendon and not have even known. So I am hopeful.
Also my podiatrist's office is in the same building. So I went to talk to him about more naproxen, my copay is $1. So as I am talking to him, he brings up my other medication and says he can't prescribe anymore because he usually only gives this medication to people who are out of surgery. I told him that is what Dr. Razzaq started me on in April. Then he freaks out and says I am addicted. He explained that I have to be addicted since I've been on it so long. So I said ok then should we stop it. He then told me no we will have to taper you, but I want to talk to your PCP, PMP, and pharmacy. I gave him all the details and after that he was real stand offish. I hope he has generalized physical dependence as addiction. We shall see on Monday, that is my next treatment and when my medication is up.
I can't wait to just be done with all of this.