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Ghost in the Machine

(14,912 posts)
13. As someone who is in pain management, and dependent on opioids to make it through the day,
Mon Jan 18, 2016, 12:14 AM
Jan 2016

let me try to give you a little insight.

The law here used to be that your family doctor could prescribe you meds forever. All of a sudden "pain clinics", which were actually pill mills, started popping up everywhere. You go in with a radiologist's report from a recent MRI or Xrays with a diagnosis of "chronic pain", pay $250 - $300 CASH, and a doctor (usually getting kickbacks from a pharmaceutical company) prescribes you onycodone, anywhere from 10mg to 30mg. I have seen, with my own eyes, people LIMP into the clinic with a cane... and once out the door RUNNING to their car with their cellphone to their ear and prescription in hand. A 30mg oxycodone pill has a street value around here from $35 - $40 EACH! Normal monthly prescription? 120 to 180 pills. MANY PEOPLE get them just to sell them. They are defrauding the system and making it harder for legitimate pain patients to get the care they need.

Now, your doctor can prescribe for 3 months, then has to refer you to pain management. Besides opioids, the LEGITIMATE pain management offices also prescribe physical therapy, Epidural Steroid Injections and other forms of pain relief.

I have had 2 major neck surgeries, have a syrinx in my spinal cord in the Cervical region... a condition called Syringomyelia, major nerve damage from the 2 surgeries and 8 or 9 bulging, herniated or dried out discs in my T-Spine and L-Spine, along with nerve impingement, degenerative disc disease and a few synovial tears in some discs, which is worse than a ruptured (or "slipped" disc).

I only go to State Approved pain clinics that take insurance now. I didn't like going to the first one that I went to, as I figured out by the 2nd visit that they were a pill mill. They were shut down, and the operators arrested, a month after I quit going there.

People still get pain medication fraudulently, and they sell it on the streets. "Addicts" will sell or trade everything they have just to get a fix, then will resort to robbing/stealing if they have to. People who are "dependent" take their medications as prescribed, don't sell their pills, and do not engage in drug-seeking activities.

You sign a contract with pain management that you will not try to obtain pain medications from any other doctor, you submit to a urine screen and pill count on each visit, and you are subject to be called in at any time for a random drug test/pill count. I, personally, have no problem with that, and have even turned in one of my own family members who was going just to get the pills to sell.

I would NEVER sell my pills, period. The main reason being A: I *need* them to be able to function without pain. B: It's not worth it anyways because if you get caught, it is a FELONY count for EACH PILL, C: I am on Disability and Medicare, so I could be charged with Medicare Fraud, and lose everything I have because while on Disability, you can lose your income just for being CHARGED with a crime that has a sentence of 1 year or more! That's right... you don't even have to be CONVICTED yet to lose your income!

I think that I am starting to ramble, sorry, but I hope that you understood what I was trying to relay. Just like anything else in the world, in the world of pain relief there are some bad apples who ruin it for all of us.

Peace,

Ghost

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0 members have recommended this reply (displayed in chronological order):

Here's what I don't get about the whole SheilaT Jan 2016 #1
It's because the people with chronic pain issues are scared to death of being labeled as addicts. hunter Jan 2016 #3
I don't think it's really the people with the chronic pain issues. SheilaT Jan 2016 #11
The pressure from the UglyGreed Jan 2016 #21
Perfectly fine doctors are afraid they'll be labeled as enablers of addicts... hunter Jan 2016 #22
I just wanted to make UglyGreed Jan 2016 #23
+1 one_voice Jan 2016 #46
As someone who is in pain management, and dependent on opioids to make it through the day, Ghost in the Machine Jan 2016 #13
Thank you very much for that explanation. SheilaT Jan 2016 #15
You are quite welcome! I try my best to teach people the differences between addiction andde Ghost in the Machine Jan 2016 #16
Well stated, thank you. TM99 Jan 2016 #53
Thank for this reply UglyGreed Jan 2016 #20
You're welcome. I hope that it can shed a little light to a lot of people... Ghost in the Machine Jan 2016 #27
Very good article potone Jan 2016 #2
Dependency and addiction are completely different phenomena Warpy Jan 2016 #4
it's a great explanation of the difference, with one caveat... nashville_brook Jan 2016 #6
I'm able to function tolerably well with a TENS and Ultram Warpy Jan 2016 #7
the author of the essay puts it so well in her last paragraph... nashville_brook Jan 2016 #10
True addicts really aren't all that rare. Mariana Jan 2016 #9
Consider this, then Warpy Jan 2016 #12
You guess wrong. Mariana Jan 2016 #14
This. You can be dependent on a crutch to walk reflection Jan 2016 #18
Drugs are often called a crutch by the people who don't need them Warpy Jan 2016 #38
Yep, and they're hard on the armpits too. reflection Jan 2016 #43
Not if you use them properly Warpy Jan 2016 #45
k and r nashville_brook Jan 2016 #5
Even if you were an addict.. Matrosov Jan 2016 #8
Personally, I'm more worried about people who can't get adequate pain management Warren DeMontague Jan 2016 #17
A single payer option UglyGreed Jan 2016 #19
Couldn't agree more. Warren DeMontague Jan 2016 #31
It's been very humiliating for me sorefeet Jan 2016 #24
People don't care until UglyGreed Jan 2016 #25
Several of my favorite human beings have OI! KamaAina Jan 2016 #26
I've had three back surgeries. NaturalHigh Jan 2016 #28
I have had three back and UglyGreed Jan 2016 #29
I'm lucky to have an understanding doctor. NaturalHigh Jan 2016 #30
It was other doctors UglyGreed Jan 2016 #32
I'm high as a kite on norco at the moment Prism Jan 2016 #33
I know this is a bad time. I am having the same issues with shingles paint relief. CTyankee Jan 2016 #34
That makes zero sense Prism Jan 2016 #35
thank you, prism. Yes, I have had constant pain since Nov. 5, the day I first detected a CTyankee Jan 2016 #39
This may have something UglyGreed Jan 2016 #36
I agree, I don't want opiods forever. But what is their alternative? CTyankee Jan 2016 #37
I don't have shingles UglyGreed Jan 2016 #40
yep, exactly what I have which is Gapopentin and Percoset. You are right, this is exactly CTyankee Jan 2016 #41
Save them for a rainey day. I learned that when I started having dental problems and it lasted 20 Jim Beard Jan 2016 #47
When my brother Pinkie was dying sorefeet Jan 2016 #42
Sad UglyGreed Jan 2016 #48
I guess I'm lucky REP Jan 2016 #44
I gave the doctors UglyGreed Jan 2016 #49
Kick to go along with UglyGreed Jan 2016 #50
Me too. I have type 2 Complex Regional Pain Syndrome cali Jan 2016 #51
I remember UglyGreed Jan 2016 #52
wonder why some Doctors don't do knee replacements? Outcomes usually good after knee replacement Sunlei Jan 2016 #54
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