The FDA has not removed "moderate pain" from long acting/extended release opioid medications. But the following was released July 9, 2012 and went into effect March 1, 2013.
"FDA introduces new safety measures for extended-release and long-acting opioid medications Strategy emphasizes education for prescribers, patients on highly potent pain relievers"
"It is expected that the first continuing education activities under the REMS will be offered to prescribers by March 1, 2013. There is no mandatory requirement that prescribers take the training and no precondition to prescribing ER/LA opioids to patients. However, the Obama Administration endorsed a mandatory training program on responsible opioid prescribing practices in April 2011 as part of its comprehensive plan to address the epidemic of prescription drug abuse. The program, which would be linked to DEA registration by providers, would require legislative changes that are being pursued by the Administration"
I believe I know what you're referring to when you say ". I am convinced that he is culturally prejudiced against women to the point of misogyny." It is Not Racism. It is a matter of the dr being from another country where the customs and language vary greatly from ours. I would change drs and try and find one that is from the U.S. because if you don't you may run into the same problem again.
This is not common practice...just the opposite. I would find a new doctor. I'm curious about what the "rough start with the partner," was. Could the partner have written something in your chart that the main doctor misunderstood ?View Thread
You need to go back to the doctor that dx your with bursitis. It sounds like you may have some nerve involvement. Often this can clear up on it's own, but the problems your having with mobility and pain suggest this may not be the case for you. You may beed to see a Neurologist for a nerve study also called a EMG.
The pain in your left arm and shoulder could be from problems in your neck or from putting pressure on your elbow by leaning on it.The pressure on your elbow is something that a person can do without realizing it...until the pain hits. You might be leaning on it when you move around or you could be leaning on your elbows to try and move around in bed. This could be especially true if you're laying down reading, talking on the phone, ect. Just try to be move aware of where your elbows are and any pressure you may be putting on them..it doesn't take alot. If you are putting pressure on your elbow and stop it, the pain should begins to subside then you've probably found the problem. BUT, mention it to the doctor when you see him, even if the pain in your arm and shoulder has improved.View Thread
Methadone is also used for pain relief, but no one here can say if it would be a solution for you or not. We aren't professionals and even if we were..the internet doesn't give all of the info needed. Call the doctor or hospital that treated you before for the substance abuse and see if you can get a appointment.
I hope nothing in my reply offended you. If it did, I Apologize, that was not my intent.
Did you apply for Medicaid for the children ? Reason I'm asking is because if they qualify, as a parent with kids under 18, you should also qualfy. Income & resources are counted. Also, if their Dad is on SSDI they might qualify to draw from his benefits.View Thread
In recent yrs I've noticed that alot of drs just don't want to spend their time going through page after page of medical documentation of your medical history. It also seems that getting a new or current dr to agree with a dx and/or treatment from a previous dr(s) can be very difficult..
I've also noticed that it isn't unusual for specialists to want the pcp to write the rxs, especially if it is for pain meds, ect. Maybe your insurance company had a problem paying for the treatment the pain specialist was planning to do and that's why they said for your pcp to write the rxs and that they could do nothing more for you. Have you checked to verify is the pain dr is Board Certified ? Is the pain dr being investigated by your state medical board or have any history like that ?
Unless your dr has proven to you that he has read and knows and understands your medical history..don't depend on him knowing it. If you have concerns speak up and make reference to the med, dx and symptoms and treatment.. And it never hurts to remind the dr of drug allergies when your given a new rx and Talk To Your Pharmacist when getting new rxs filled.View Thread
foreversore, Do you know if they will pay for Pain Management now ? In Louisiana, Medicaid will not pay for Pain Management now. And the Primary Care Physicians don't get paid enough to keep the records and do all the things they have to do when rxing pain meds. I'm looking at having to go into a nursing home. I'm 59 and have no others health problems except for those caused from the chronic severe pain of back issues. I've been told 3 times that if surgery is done I will probably end up in more pain.View Thread
77grace, I couldn't add anything to what CTBeth said. And I understand what you're saying. But if the parent cannot function without the meds, how will they take care of both of their daughters. We cannot take care of our families unless we take care of ourselves. And as many know the doctors don't care "how it happened" if it puts them in a bad light. The doctors name is on those meds and if the daughter steals a bottle..or even if she doesn't...any link to the doctor and the diversion and the parent would have to go without the meds.View Thread