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    cut off my breakthough
    An_252412 posted:
    I've had several major abdominal surgeries, which in turn lead to 2 stays in ccu of over 60 days each time, after the 2nd trip my pain was excrutiating, so a surgeon recommended fentanyl with oxycodone 10/325 4 times a day, ive been loyal to my regimen, never exceeded nor anything against my policies, now my pain specialist is no longer there, and the new doctor looks at the computer records and says wow, how did you get on all these meds, I said well my records from my hospital situations are there, then snap, doesn't say anything but are you seeing a psychiatrist? at this point i'm confused on how we went from him not reading my reports, to needing a psychiatrist, then without missing a beat also says i'm taking you off these orals, I said they help me, I don't abuse them I really only take them when my patch goes through what I call down time, when I feel need for my other meds, that's the only time I take them, well he decides hes taking me off of my breakthrough, even though its the only thing helping me with my normal lifes functions, because I swear without them, I really hurt at times, then he mind you being 1st time ive seen him, but i'm a 4 yr fentanyl patient, lectures me on fentanyl, if I know how to discard and so on, well he's telling me all this, and I say I refuse to flush them they go into our ecosystem if I do, they go in proper disposal, long story short, now I am being cut off my breakthrough meds, and I live in an area with no other ultimatums, how can I get him to understand hes not taking pills from me, hes taking hours of my life, because I cannot function in shopping or other situations without breakthrough, please give me some insight if youve encountered losing a great doctor to a individual that seems like theyve lost someone to drugs, but feels theyre a doctor
    tuloud54 responded:
    Been there,done that. Went to pain dr for the first time in dec 2010.At the time my family dr had been helping my pain with 50 fentanyl every 3 days and 5mg Percocet 3 to 4 times daily.Pain dr immediately stopped percocets.I figured he was a specialist and I would do what he said.Big mistake.Within no time I was not getting enough pain relief as patch would not last 72hrs as promised.I let dr know at next apt and he told me you will never be pain free!lol. I never expected to be pain free but at least I was able to still do things. Please get searching for a new dr.I stayed with this guy a year and suffered every month with patch not working and no back up.Don't mess with this idiot any longer.Read my profile and messages as our stories are scarily similar. Please run from this fool and don't look back.Been there,done that. Painfully less. Tom
    cweinbl responded:
    How sad. I've spoken with dozens of people using Fentanyl Transdermal and NONE OF THEM said that the patch works past 48 hours. All the more reason for BT meds. Actually, your doctor should prescribe changing the patch every two days and maintaining your BT meds.

    You might have better luck asking your GP, family doctor or internist to prescribe your pain drugs. The benefit is that you already have a trusting relationship and there would be less concern about drug interactions (which can easily occur when deferent physicians are prescribing medications.

    Pain management physicians are very much used to patients who regularly lie, steal, cheat, sell, misuse and OD from opioid medications. That's why they are much more likely to require regular drug tests and why they have little patience with your issues and complaints. Meanwhile, if you have been using the same family doctor for 20 years and she or he trusts you, you'll get your medication, often without drug testing, and minus the bad attitude.

    Unfortunately, some family doctors are no longer prescribing Schedule II drugs. They do this for two reasons. It lowers the malpractice insurance cost (removes them from liability when there is an overdose, suicide or accident involving medication) and it keeps the FDA off their back. That's what happens when your pain management doctor puts his or her own benefit ahead of the patient's needs.

    I hope that you will soon be able to access the medication that you require to continue to function at work and at home. Good luck!

    Featuring Experts

    Peter Abaci, MD , is certified in anesthesia and pain management by the American Board of Anesthesiology. Dr. Abaci received his undergraduate educat...More

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