View Full Version : Opioid quandary...


Laserbeak
03-07-17, 04:40 PM
Does anyone (especially any professional) know what type of doctor is supposed to prescribe opioids (like Oxycodone) for long-term chronic pain (basically forever)?

I'm facing this catch-22 where all doctors seem to be pointing to each other and everyone is scared to death of the State and Federal governments for over-prescribing opioids.

I discussed it with my psychologist and he laughed when I told him my primary care doctor (PCP) is afraid prescribing 4x/day 5mg Oxycodone (though she's still doing it for now). He says he has patients that are taking like 50x that trying to get off. But he won't take over the prescription saying psychologists aren't supposed to deal with chronic pain.

All the "pain management" doctors all want to do injections of nerve blockers which I had a bad experience with and am afraid could cause further damage especially in the long term with monthly injections into the major nerve that controls my left arm/hand. Most won't even recommend for or against opioids, they won't even see you. The few I've talked to agree with me that it is a perfectly sound decision to continue wanting to take opioid painkillers than regular injections in a sensitive area (my elbow).

MRI analysis of my elbow shows one of the two major nerves that control the hand has been destroyed. Further screwing around with that area through surgery or injections could leave my hand/lower arm paralyzed.

X-Ray analysis basically shows the same thing, and an orthopedist said the same thing.

But these PCP doctors keeps freaking out every year or so and want me to go to these specialists saying they're not supposed to be prescribing painkillers but the specialists say they are. The problem really intensifies when a doctor leaves/drops my insurance/etc.

tl;dr: Where do you go for Oxycodone if you really need it?


Edit:
Note, the original injury was a radial head fracture. I've had two surgeries on it.

dvdnvwls
03-07-17, 07:22 PM
This is one of the current collisions between politics and medicine. The "bigwigs" in both fields are fighting over territory and control. Many of them on both sides are much more concerned with their own image than they are with good results for patients. You, like many, are caught in the middle.

I don't know what a person does in that situation.