ENDO Messages for April, 2005: Re: How do you talk to a doc about stronger pain meds?(long post, sorry) to anonymous

Re: How do you talk to a doc about stronger pain meds?(long post, sorry) to anonymous

From: anonymous (anonymous@obgyn.net)
Wed Apr 27 16:34:15 2005

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At Wed, 27 Apr 2005, anonymous wrote: >
>First of all, morphine is a highly addictive substance and has nothing
>to do with family genetics. Addiction to pain killers is not inherited
>and certainly not passed between siblings. No, in fact, addiction to
>pain killers usually begins with a doctor who carelessly writes
>prescriptions for medications stronger than necessary. Often, people
>who become addicted to pain killers do so because they have a
>pre-disposition to be addicted to certain substances coupled with a
>belief that develops in which they are certain they cannot get through a
>day without the substance (drugs, alcohol, cigarettes, coffee, ice
>cream, anything and everything can fall in that category.)
>
>Secondly, your doctor, by refusing to offer you short courses of
>different strengths and formulations of pain relief is not living up to
>his hippocratic oath and his obligation to you, his patient. He doesn't
>have to write a prescription for a 30 day supply - he can give you a
>trial of 7 or 10 days to see if A) it works for you B) doesn't have any
>bad side-effects as many pain medications are rough on the stomach.
>
>Thirdly, you will often need more than a pain pill to alleviate the
>discomfort, you will also need to pay close attention to your diet and
>make changes that make your symptoms worse (lactose and other gas
>producing foods often make the pain and cramping worse). You need to
>make sure you get plenty of rest and exercise too.
>
>To help your own cause, speak with your doctor frankly and openly. Let
>him know you are an intelligent and responsible person with no desire to
>become addicted to any substance and that you are interested in using
>only the proper strength and formulation to give you enough relief to go
>about your normal daily activities and obligations.
>

Alcohol and drug addictions have been scientifically proven to be hereditary. It isn't always, but if you have family members that have problems, you are pre disposed at a higher rate, to become addicted easier. Doctors don't have to keep anyone on a narcotic for long. Does anyone ever think about their liver? >
>At Wed, 27 Apr 2005, S.S. wrote:
>>
>>I have an odd problem. I live in a small town where everyone knows
>>everyone else and all of them know my older brother died of a morphine
>>overdose after 20+ yrs of addiction. I am 34 and have been taking pain
>>medication (darvocet) since I was 18 for endo. I tried every hormone
>>therapy out there, birth control, other stronger hormones which stop
>>periods completely and my body just can't handle them. I'll die before
>>I let any doc put me on another hormone!!
>>
>>So last year, my endo took a turn for the worst, spreading into back and
>>leg pain as well. Luckily, I only suffer for about one week during my
>>period, but I need stronger medication than darvocet during then. I
>>have talked to my regular doc and my gyn, but both have said no due my
>>family history. I have never had an addiction problem, but I do
>>understand their fear because I saw what pain meds did to my brother and
>>how he died. But on the other hand, I can't live like this anymore.
>>
>>There is another doctor I am going to see, but how do I talk to him
>>about pain meds when he knows what happened to my family, too? I have
>>been to several different specialists and had 2 surgeries and all agree
>>that at this point, a hyterectomy is the only option I have left. I
>>just got married and to me that is not an option.
>>
>>I have tried Ultram and it does not help. I was on Vioxx, then Bextra,
>>in addition to the darvocet and now those meds are gone. I do not know
>>what to do. I am desperate. I have learned to live with the fact I
>>have endo, I can live with being so sick for one week a month, I have
>>finally worked my life out to deal with those issues. But I can't deal
>>with this pain, and I am nervous about talking to a new doctor about it.
>>I am so afraid he will say no, too.
>>
>>Has anyone else experienced this? Any suggestions? (I had a root canal 2
>>months ago and didn't take the hyrdocodone they gave me for that, even
>>though it HURT it was nothing compared to a period, and saved it for my
>>cramps. It worked pretty well. I am not seeking total pain relief, I
>>don't think that's possible, just enough medication to stop the vomiting
>>and crying. I think you all know what I mean!!)

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